From a state oversight process that killed an ASC rather than saved it to the federal government’s largest ASC antitrust action in history, here are five controversies that every operator should know. 1. The Oregon ASC that regulators couldn’t save …
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HHS, CMS and the departments of Labor and Treasury finalized a rule May 28 overhauling the No Surprises Act’s independent dispute resolution process, instituting several changes aimed at increasing efficiency and transparency in a process that has been criticized by…
CMS in 2024 documented a striking gap at the center of the prior authorization system: Medicare Advantage plans, on average, overturn 80% of denied claims when they are appealed, while only 4% of denied claims ever reach that stage. A…
Camden, N.J.-based Cooper University Health Care is planning to build a $300 million multispecialty outpatient campus in Gloucester Township, N.J. The more than 180,000-square-foot campus will include an ASC, specialty exam suites and an MD Anderson Cancer Center, according to…
U.S. Anesthesia Partners and the Federal Trade Commission reached an agreement in principle on April 23 to resolve a landmark antitrust case that accused USAP of buying up nearly every large anesthesia practice in Texas to create a single dominant…
Spine surgery continues to evolve through advances in minimally invasive procedures, robotic-assisted technologies, motion-preserving treatments and complex deformity correction. Across the country, a select group of surgeons is helping shape the field through clinical innovation, research leadership, education and the…
Ascension has completed its $3.9 billion acquisition of AmSurg, expanding the St. Louis-based health system’s ASC network to more than 300 centers nationwide, according to a June 4 news release, but not before the Federal Trade Commission required the divestiture…
Plano, Texas-based Kaye/Bassman International merged its ambulatory surgery center and surgical hospital recruiting practice with its hospital and nursing leadership division, the firm announced Feb. 6. Managing Partner Drew Wyatt, who leads hospital and nursing leadership recruiting, will align with…
The HHS Office of Inspector General issued an unfavorable advisory opinion this month, concluding that an orthopedic device company’s plan to pay physician consultants royalties tied to product-line revenue posed a heightened risk under the federal Anti-Kickback Statute. Here are…
Matrix Medical Network, a Nashville, Tenn.-based health services company that conducts in-home assessments for Medicare Advantage patients, has agreed to pay $36.5 million to resolve False Claims Act allegations of generating false and invalid diagnoses to artificially inflate risk adjustment…