Commercial payers account for an average of 44 percent of total cases in ASCs, according to VMG Health's "Multi-Specialty ASC Benchmarking Study" for 2022.
ASC Coding, Billing & Collections
CMS has sent about 342 warning notices to hospitals found noncompliant with price transparency regulations since Jan. 1, 2021, when the rule went into effect.
Blue Cross Blue Shield of Texas customers no longer have in-network access to physicians and facilities of Houston-based health system Memorial Hermann, The Examiner reported March 3.
Seventy-nine percent of medical groups say that payer prior authorization requirements increased in the last year, according to a poll conducted by Medical Group Management Association March 1.
Variations of colonoscopies make up three of the 10 most common procedures performed at an ASC, according to data company Definitive Healthcare.
Advertisement
Cigna, one of the country's largest payers, has named two executives in the last month.
Health insurer chief executives earn millions of dollars each year while their companies narrow networks and lower pay rates for physicians and ASCs.
UnitedHealth Group has decided to stop mailing prior authorization and clinical decisions to providers on paper.
Health insurers have made several moves to grow their networks, become more efficient and institute new policies over the last few weeks, and one major company was hit with a lawsuit by the Justice Department.
UnitedHealth Group, parent company of ASC management company United Surgical Partners International, reported sizable year-over-year growth in 2021.