From widening commercial price gaps and declining Medicare surgeon pay, five studies are raising questions about the financial and structural pressures facing ASCs. The studies quantify shrinking surgeon reimbursement, consolidation-linked price increases, hospital site-of-care advantages and socioeconomic disparities in ASC…
Leadership
Stark law was built to guard against financial conflicts in a fee-for-service world, but as healthcare shifts toward value-based care, many physicians say the decades-old framework is creating new friction. Physician leaders told Becker’s that the law’s strict liability standard,…
From the rise of de novo facilities to the continued decline of reimbursement rates, ASC leaders are constantly retooling their approach based on what the industry throws at them. Reimbursements and insurance authorizations, especially when it comes to anesthesia services,…
As payer complexity and administrative burdens intensify, ASCs are turning to AI as a way to protect margins and efficiency by using it to manage prior authorizations and appeals, optimize OR performance and explore new clinical applications. For many ASCs,…
As health systems continue shifting higher-acuity cases into outpatient settings, ASCs are being asked to do more, and at Novant Health, that evolution has required more than standardized protocols. For the Winston-Salem, N.C.-based system, this has meant doubling down on…
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As ASCs face mounting cost pressures and tighter margins, Compass Surgical Partners CEO Mark Langston is betting on real-time operational intelligence, something many operators still lack. Rather than relying on retrospective financial reports, Mr. Langston told Becker’s that the future…
Inflation remains one of the biggest concerns for ASC and physician practice leaders as costs from everything from supplies to real estate continue to rise at a rate faster than that of reimbursement increases. Inflation, measured by the Consumer Price…
This is a bimonthly column by Les Jebson, administrator of the Orthopedics and Sports Medicine Institute at Prisma Health. This is the second installment. Incentivizing perioperative surgical teams with additional compensation tied to performance milestones has the potential to improve…
Ambulatory providers are increasingly looking to their EHR vendors for new functionalities and technologies but still rely heavily on third-party companies for tasks like patient engagement and intake and ambient speech, KLAS Research reported Feb. 9. Here are the top…
The ASC industry faces an array of pressures in the year ahead, from rising costs and payer issues and a struggling physician workforce. As the demand for surgical services in the U.S. intensifies with an aging population, many ASC leaders…