The Health Net MAC approved the recommendation and issued a new policy, stating minimally invasive knee and hip replacements can be performed in specific outpatient facilities that Health Net contractually approves. The approval is based on “the facility’s ability to select the appropriate patients, capability to provide 23 hour observation and have evidence that there is an agreement with a hospital to transfer and accept complications.”
CASA and California ASC leaders have been meeting with payers for several years to advocate for these procedures in the outpatient setting.
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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.