Out-of-network ASCs have lower costs than in-network hospital outpatient departments, according to a new study published Oct. 6 in The American Journal of Managed Care. The study analyzed commercial medical claims data from all 50 states, comparing insurer-paid amounts, patient…
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Heritage Provider Network, a physician-owned integrated healthcare group, has agreed to a $49.99 million settlement to resolve class-action litigation regarding a cyberattack, according to an Oct. 15 report from The HIPAA Journal. The lawsuit stems from a December 2022 data…
Lawmakers in the state House of Representatives have reinvigorated efforts to repeal a 1990 law that some say restricts families from seeking economic damages in medical malpractice cases, the Highland News-Sun reported Oct. 17. Here are five takeaways from the…
While the proposed 2026 Medicare physician payment schedule does include several updates to the ambulatory specialty model that the American Medical Association has long advocated for, it said in comments to CMS that there are still several areas in need…
Here are seven Dallas-based Tenet Healthcare leadership moves since June: 1. Valerie Helms was named assistant CFO of Carondelet St. Mary’s Hospital in Tucson, Ariz.The hospital is part of the Carondelet Health Network. 2. Hillary Rosenfeld, MSN, RN, has been…
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ASC investments are entering a new phase, as health systems, payers and physician groups reshape the market through consolidation, integration and renewed pushes for independence. Here are five new ASC investment and transaction trends to know: 1. Private equity shaping…
UCLA Health is planning to close two smaller ASCs in Santa Clarita and Thousand Oaks, Calif., according to an Oct. 16 report from The Signal. The health system made the decision to close the ASCs as cost-cutting measures and as…
Joe Peluso, administrator at Aestique Surgery Center in Greensburg, Pa., joined Becker’s to discuss how proposed federal legislation — including H.R. 879 and S. 1640 — and CMS’ 2026 payment system reforms could stabilize physician reimbursements, advance site-neutral payments, and…
Here are five updates on the growth of Pearland, Texas-based Kelsey-Seybold Clinic since July 1: 1. Kelsey-Seybold plans to build a two-story, 34,000-square-foot clinic in Fresno, Texas, according to an Oct. 14 news release. The facility, expected to open in…
ASCs continue to face complex regulatory scrutiny under federal anti-kickback and fraud laws, even as they operate outside certain Stark law restrictions. A recent Minnesota Lawyer article and guidance from the Federal Bar Association’s Turning Square Corners newsletter outline how…