California’s Workers’ Compensation Advisory Board Proposes 40-50% Cut in ASC Reimbursement

The California Division of Workers’ Compensation announced plans to reduce ASC reimbursements to 120 percent of the Medicare ASC rate as part of a larger plan to reduce state workers’ compensation costs by $1.2 billion, according to the California Ambulatory Surgery Association.

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California ASCs are currently reimbursed at 120 percent of the Medicare HOPD rate, and a switch to calculating reimbursement using ASC rates represents a 40-50 percent cut in reimbursements to ASCs.

CASA has objected strongly to this approach and has provided written comments to DWC.

DWC recently announced it will be holding a public stakeholder meeting to receive input on the issue. CASA is encouraging those in the ASC industry to attend. The meeting will be held Thursday, May 27 from 10am-12pm at the Elihu M. Harris State Office Building, Room 2, in Oakland, Calif. Interested parties should RVSP for to meeting by contacting Maureen Gray at mgray@dir.ca.gov or (510) 286-0676.

Learn more about CASA.

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.

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