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

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