5 factors affecting the viability of independent centers

Remaining viable as an independent ambulatory surgery center can be difficult in today's healthcare economy. The following are five factors affecting the ability of independent centers to survive:

1. The physician and procedure/payer mix.
2. The managerial capability and efficiency at the center.
3. Contracting initiatives and whether a center has the capability to incorporate new reimbursement models, such as bundled payments.
4. Dependence on out-of-network revenues, as this is no longer as viable a strategy as it once was.
5. Patient satisfaction rates as well as quality and outcomes reporting.

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