Medicare’s push toward site-neutral payment is no longer a future problem. CMS’ latest hospital outpatient rule, finalized in November 2025, cut payment for certain drug administration services delivered in grandfathered off-campus hospital outpatient departments to 40% of the standard outpatient…
ASC Transactions & Valuation Issues
The Justice Department’s decision to decline prosecution of Hamilton, N.J.-based Campus Eye Management Holdings, while separately indicting its founder, turned a spotlight on a corporate structure that has become the default architecture for private equity-backed provider roll-ups. That case ran…
Gastroenterology consolidation isn’t slowing down, with MSOs, health systems and digital health companies each making moves in the space. Less than two months after closing a $3.9 billion deal, Amsurg is already expanding its GI footprint. It’s one of five…
HCA Healthcare’s outpatient strategy runs on two engine.: HCA Surgery Ventures, its ASC company, and years of aggressive urgent care buying. That second engine just kicked into a higher gear. On Aug. 1, the Nashville, Tenn.-based system acquired Texas MedClinic,…
Eleven physician practices changed hands in the past month alone. This pace tracks with a broader shift in who owns U.S. medicine. Corporate entities, including insurers and PE-backed companies, employed 23% of physicians in 2024, up from 15% in 2019,…
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Hospitals nationwide continue to trim service lines as margin pressure, thin volumes and workforce shortages collide, and the fallout extends well beyond the inpatient setting. In the last month, 11 hospitals and health systems have announced plans to close, consolidate…
St. Louis-based Ascension didn’t just acquire AMSURG’s more than 300 ASCs in its $3.9 billion deal that closed in early June, it acquired the machinery that runs them, and it’s telling the market it has no plans to touch it.…
Atlas Healthcare Partners has landed two joint ventures so far in 2026 — one with Prisma Health, one with Fairview Health Services — continuing a run of deals that has made the Phoenix-based ASC operator a sought-after partner among nonprofit…
The big four for-profit hospital operators posted a common thread in their second-quarter 2026 results: softened outpatient and ASC volumes. Tenet Healthcare and HCA Healthcare leaned on acuity mix and pricing to largely offset the fewer procedures, though pricing didn’t…
Joining a health system through acquisition can bring real benefits to a physician practice, including operational support, better access to capital, stronger payer contracting leverage and long-term stability. However, these deals sit inside a complex, heavily regulated legal landscape and…