18 Statistics on Surgery Center Payer Mix by Case Volume

Here are 18 statistics on surgery center payer mix based on case volume, according to VMG Health’s ASC Intellimarker Survey 2011.

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Payer mix as a percentage of gross charges

Less than 3,000 cases
•    Commercial: 59 percent
•    Medicare: 22 percent
•    Worker’s Compensation: 4 percent
•    Other pay: 3 percent
•    Medicaid: 2 percent
•    Self pay: 2 percent

3,000 to 5,999 cases
•    Commercial: 57 percent
•    Medicare: 26 percent
•    Worker’s Compensation: 4 percent
•    Other pay: 4 percent
•    Medicaid: 3 percent
•    Self pay: 2 percent

More than 5,999 cases
•    Commercial: 61 percent
•    Medicare: 24 percent
•    Worker’s Compensation: 4 percent
•    Medicaid: 3 percent
•    Other pay: 3 percent
•    Self pay: 1 percent

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At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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