How Does Managed Care Affect ASC Valuation? 24 Statistics

Obtaining adequate reimbursement is a top priority for ambulatory surgery center leaders. Here are 24 statistics on how ASC management and development companies assess managed care and reimbursement in relation to valuation, according to VMG Health‘s 2011 ValueDriver ASC Survey.

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Overall impact of reimbursement on value:
•    Low reimbursement: medium
•    Contracting leverage: high
•    Single payer: very high
•    Out-of-network: very high

High reliance on out-of-network payers
•    Very low: 0 percent
•    Low: 0 percent
•    Medium: 0 percent
•    High: 7 percent
•    Very high: 93 percent

High level of patient volume and revenue tied to a single payer
•    Very low: 0 percent
•    Low: 7 percent
•    Medium: 20 percent
•    High: 33 percent
•    Very high: 40 percent

Contracting leverage with major payers in the market
•    Very low: 7 percent
•    Low: 7 percent
•    Medium: 33 percent
•    High: 47 percent
•    Very high: 7 percent

Low commercial reimbursement levels
•    Very low: 7 percent
•    Low: 13 percent
•    Medium: 40 percent
•    High: 27 percent
•    Very high: 13 percent

More Articles on Transactions and Valuation Issues:
14 Hospitals & Health Systems Planning or Opening Surgery Centers
How Do Physicians Impact ASC Valuation? 20 Statistics
4 Recently Announced ASC Joint Venture & Partnership Agreements

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.

Register to Attend Webinar

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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