OR Business
ASCs surge as hospitals and investors chase outpatient growth
Editor's Note Hospitals, physicians, and private equity are accelerating their push into lower-cost outpatient care. According to Colliers US Healthcare Services Research Report Q3 2025, published on September 22, ambulatory surgery center (ASCs) procedure volumes are projected to grow 9% between 2023 and 2028—outpacing hospital outpatient department growth at 7%—and…
Nearly half of US physicians now work for large systems: GAO links consolidation to higher costs
Editor's Note Physician independence continues to decline as hospitals, insurers, and private equity firms expand their ownership of medical practices, according to a US Government Accountability Office (GAO) report published on September 22. The report found that 47% of physicians were employed by or affiliated with hospital systems in 2024,…
Sustainable surgery can cut costs, reduce emissions, improve care, review finds
Editor's Note Surgical teams can dramatically reduce healthcare’s carbon footprint through waste reduction, energy efficiency, and smarter procurement, Cureus October 7 reports. The review’s authors describe surgery as both a major environmental challenge and a key opportunity for hospitals to align climate responsibility with clinical and financial goals. Healthcare contributes…
Study: Surgical hospital closures hit vulnerable communities hardest
Editor's Note Hospitals that provide surgical care are closing faster than new ones are opening, deepening inequities in access to surgery for socioeconomically disadvantaged communities, American College of Surgeons October 3 reports. Closures not only disrupt care, but also deter many from seeking surgery altogether. Increased travel burdens and difficulty…
How digital tools help nurse leaders retain expertise, stabilize staffing, sustain efficiency
Perioperative leaders face a workforce transition unlike any in recent memory. By 2030, all baby boomers will have reached retirement age, and many veteran perioperative nurses are already exiting, taking with them decades of institutional knowledge. At the same time, the expectations of today’s workforce have shifted, placing greater value…
High prices, not overuse, keep US healthcare costs far above peer nations
Editor's Note The US continues to outspend every other wealthy nation on healthcare, not because Americans use more services but because the prices of those services are far higher, Peterson-KFF Health System Tracker September 4 reports. The analysis compares US healthcare prices and utilization with 11 similarly wealthy countries and…
Study finds Medicare paid nearly $2 billion for unnecessary back surgeries
Editor's Note More than 200,000 older Americans underwent back surgeries they likely did need, costing Medicare and Medicare Advantage a combined $1.9 billion, Axios October 9 reports. The findings, based on an analysis by the Lown Institute, raise new concerns about overuse of high-cost procedures with limited benefit, as federal…
Tray-based setups cut OR waste, setup time while boosting workflow satisfaction
Editor's Note Introducing preassembled surgical trays sharply reduces OR waste and setup time while improving staff workflow satisfaction, Surgeries October 8 reports. The prospective study, conducted in a high-volume German urology center, compared tray-based setups with the “standard approach” for preparation across 64 procedures and found measurable ecological and operational…
Study: Outpatient surgery costs hinge on site of care, network status
Editor's Note Patients and insurers pay far less for outpatient surgical procedures performed at in-network ambulatory surgery centers (ASCs) than at hospital outpatient departments (HOPDs), the American Journal of Managed Care October 6 reports. This study, led by Xiaoxi Zhao, PhD, Christopher Whaley, PhD, and colleagues, analyzed commercial claims data…
Private equity is reshaping ASCs, raising cost and antitrust concerns
Editor's Note Private equity is driving a quiet but powerful transformation in the $30 billion ambulatory surgery center (ASC) market, heightening risks of higher costs and reduced competition, an October 2025 research brief from the Private Equity Stakeholder Project (PESP) reports. It warns that Wall-Street-backed consolidation and opaque ownership structures…
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