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As Medicare and Medicaid oversight intensifies, health plans are navigating a more complex landscape where policy ambiguity, state variability, and heightened enforcement are exposing gaps between intent and execution. Prepay strategies are gaining momentum as they prevent avoidable spend before…

Jun 29, 2026 11:00 AM - 12:00 PM CDT

Presented by:

Presented by
Presenters:
  • Cereasa Horner
  • Kevin J. Malone
  • Philo D. Hall

Colonoscopies are booming, but the economics are getting complicated.  As colorectal cancer rates climb and updated screening guidelines add millions of newly eligible patients, ASCs are racing to meet demand. But reimbursements are falling even as procedure volumes rise, forcing…

Sunrise, Fla.-based North American Partners in Anesthesia will begin providing anesthesia services at Scotts Hill Medical Center in Wilmington, N.C., in June.  The center provides surgical and outpatient care and will be supported by NAPA through advanced analytics, operational excellence…

Outpatient joint replacement is rapidly reshaping orthopedic care as advances in minimally invasive surgery, anesthesia, rapid recovery protocols and care coordination make same-day hip and knee replacement increasingly common. Across the U.S., orthopedic surgeons are leading the shift toward ambulatory…

Outpatient care is becoming the norm across specialties as patient preferences, CMS coverage and the demand for cost-savings drive a shift away from inpatient care models.  From standalone ASCs to system-owned medical office buildings, hospitals, health systems and independent groups…

Twenty-five years ago, when Richard Berger, MD, began talking about outpatient joint replacement surgery, much of the orthopedic community found the idea absurd. At the time, hip and knee replacement patients routinely spent seven to 10 days in the hospital…

Greenwood, S.C.-based Self Regional Healthcare broke ground May 5 on Self Medical Center Spring Street, a 68,000-square-foot multispecialty medical office building. The facility will consolidate specialty services under one roof, including urology, gastroenterology, general surgery, bariatric surgery, women’s health and…

The outpatient setting is becoming more optimal for some complex spine surgeries, but that is also creating new obstacles in hiring, Bryan Basques, MD, said. Dr. Basques shared his perspective and how practices should approach the challenge. Editor’s note: This…

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