CMS payment overhaul could cut specialist pay
Editor's Note A “quiet transformation” in how Medicare pays doctors could reduce payments for specialty care, including rates for billing codes associated with surgery, diagnostic imaging, outpatient care, pain management, and orthopedics, Modern Healthcare reported July 22. According to the article, The Centers for Medicare and Medicaid Services (CMS)’ 2026…
ASC adaptability depends on properly structured leadership
Takeaways • Different types of ASC leadership structures can be adapted to meet organizational needs. • Regulations, accreditation standards, size, and ownership types are examples of factors influencing the leadership structure. • Ongoing success of the ASC leadership team depends on factors such as governing body diversity and strategic planning.…
Study: Outpatient PCI safety comparable for ASCs, HOPDs
Editor's Note The first study to evaluate percutaneous coronary interventions (PCI) in Medicare beneficiaries treated at ambulatory surgery centers (ASCs) found similar short-term safety outcomes as hospital outpatient departments (HOPDs). As detailed in an announcement from The Society for Cardiovascular Angiography & Interventions (SCAI), the research was presented on May…
ASCA 2025: Leading lawmaker reflects on surgery center priorities
Editor's Note At the 2025 Ambulatory Surgery Center Association (ASCA) conference, discussion of legislative priorities extended beyond educational sessions. Thanks to a visit from the ranking lawmaker of the congressional subcommittee responsible for most healthcare policymaking, attendees also got first-hand insight into the latest negotiations on Capitol Hill. US Representative…
Study: Shifting imaging to outpatient centers could save billions
Editor's Note Moving radiology services from hospitals to outpatient centers could slash healthcare costs by billions annually while improving patient care, according to a March 3 Radiology Business News report on a study published in the American Journal of Roentgenology (AJR). The study found that shifting just 10% of hospital-based…
Private Equity fuels growth of hospital-owned ASCs amidst rising demand, regulatory loopholes
Editor's Note Private equity investment in hospital-owned ambulatory surgery centers (ASCs) is rising as hospitals seek expansion capital and private equity firms look for profitable partnerships in a growing sector, Modern Healthcare November 4 reports. ASCs have become popular due to their lower costs compared to hospitals, which makes them…
2025 Medicare reimbursement cuts spark concern among physicians
Editor's Note Doctors facing inflationary and operational cost increases are decrying recently finalized 2025 Medicare reimbursement rates, according to a November 4 report in Healthcare Dive. The 2025 rates reduce physician payments by 2.9% while increasing rates for hospital outpatient departments and ambulatory surgery centers (ASCs) by 2.9%, the outlet…
OR “megafloor” combines inpatient, outpatient procedures
Editor's Note A newly constructed surgical “megafloor” that connects inpatient and outpatient ORs promises to aid workflow and add flexibility for perioperative teams at The University of California Irvine (UCI) Health—Irvine campus, Healthcare Design reported October 7. As detailed in the article, the academic center must accommodate a variety of…
Countdown to OR Manager Conference: Protect your workplace from violence—How to build a safe environment
Editor's Note Beth Chrismer, MSN, RN, CPHRM, former director of clinical excellence at CHRISTUS Good Shepherd Health System, shared insights into a tragic workplace violence incident that occurred in 2013 at a Texas ambulatory surgery center (ASC) at last year’s OR Manager Conference. Chrismer was risk manager at the time…
Vertical integration reshaping US healthcare: Impact on cost, access
Editor's Note A growing trend toward vertical integration in US healthcare is leading to significant changes in how care is delivered and billed, according to a new study by Brown University researchers published on September 16. Vertical integration refers to the consolidation of physician-owned practices into larger health systems, a…
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