Major health systems are shedding hospitals and funneling the proceeds into ASCs. Tenet, Ascension and Community Health Systems have collectively divested dozens of hospitals in recent years, redirecting billions toward outpatient growth. Tenet Healthcare Dallas-based Tenet Healthcare offers perhaps the…
Author: Patsy Newitt
Major payers are quietly cutting reimbursement by automatically adjusting the complexity codes on claims before payment clears. In the past year, Cigna, Aetna, Anthem and BCBS of Massachusetts have all launched or expanded automatic downcoding programs, algorithmically adjusting higher-complexity E/M…
Nearly 1 in 3 U.S. physicians will be sued at least once in their career, but the risk varies depending on where they practice, what they specialize in and how long they have been in medicine, according to a policy…
ASC administrators and other medical and health services managers earned a mean annual wage of approximately $140,970 in 2025, with New York topping all states at $184,960 and Georgia leading when wages are adjusted for cost of living, according to…
From new Mako installations, to Rosa knee systems, to spine robots from Globus Medical. surgical robots are rapidly arriving in ASCs. For many freestanding ASCs, the financial case remains difficult, held back by a reimbursement structure that was built for…
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For independent ASCs, the economics of survival have never been more precarious. Reimbursement rates have not kept pace with inflation, staffing costs have surged and some commercial payers have effectively closed the door on negotiations. Suzi Cunningham knows this reality…
Implant prices for total shoulder replacement surgery have plummeted more than 40% since 2010, but patients and surgeons have seen almost none of that savings, with hospitals capturing the benefit while physician reimbursements fell nearly as fast as the implant…
Two CMS policy changes — a 2.5% efficiency adjustment to work RVUs for non-time-based services and a revision to the practice expense methodology — will cut payments to gastroenterologists for ASC and hospital-based endoscopy by $58 million, while boosting payments…
A California physician has been convicted by a federal jury for submitting $45 million in fraudulent Medicare claims for Botox injections that were never provided and obstructing the investigation by altering medical records, the Justice Department said in a May…
GI Partners of Illinois, the largest independent physician-led gastroenterology group in the state, has announced a strategic partnership with Nexus Healthcare Management to launch an AI-driven chronic care platform across its network, according to a May 19 news release shared…