For-profit health systems ramp up ASC expansion to offset tax law cuts
Editor's Note Major for-profit health systems are accelerating investments in ambulatory surgery centers (ASCs) as they brace for long-term revenue reductions under the federal “One Big Beautiful Bill” tax law. Systems including HCA Healthcare, Tenet Healthcare, Community Health Systems (CHS), and Universal Health Services (UHS) outlined aggressive ASC growth strategies…
Study: Private equity pushes colonoscopy costs higher without improving care quality
Editor's Note Private equity ownership drives up colonoscopy prices without delivering better patient outcomes, according to a large retrospective analysis. While independent and private equity-acquired gastroenterology practices show no significant difference in quality, prices at private equity practices rose sharply, especially in highly consolidated markets. The study, published in JAMA…
Hospital M&A climbs as rural, outpatient shifts reshape care strategies
Editor's Note Hospital mergers and acquisitions saw a slight increase in Q2 2025, but broader shifts in healthcare affiliations and delivery models continue to gather momentum, according to a July 10 Kaufman Hall analysis of M&A activity for the second quarter of 2025. The report recorded eight hospital and health…
Oregon tightens control on physician practice ownership, indirectly impacting office-based surgery
Editor's Note Oregon has enacted the nation’s strictest law yet to curb corporate control of physician practices, a move that could indirectly affect office-based surgery (OBS) centers structured as medical clinics. As reported by Modern Healthcare on June 13, the new law reinforces the state’s corporate practice of medicine doctrine…
Health systems retreat from partnerships to control costs, refocus on core care
Editor's Note Some health systems are cutting ties with long-standing partners to conserve resources, brace for financial uncertainty, and prioritize core clinical services, Modern Healthcare June 26 reports. With looming federal reimbursement cuts and increasing economic pressures, providers are reassessing the value and sustainability of affiliations formed during more stable…
Ascension expands with AMSURG mega-deal as Surgery Partners doubles down on independence
Editor's Note Two major players in outpatient surgical care are taking sharply different paths: Surgery Partners is rejecting a buyout bid, while Ascension is making a bold acquisition to rapidly expand its ambulatory surgery center (ASC) footprint. Surgery Partners has formally declined a takeover proposal from Bain Capital, Ambulatory Surgery…
Five strategic paths help GI practice owners navigate rising costs, consolidation
Editor's Note Independent gastroenterology (GI) practices face mounting pressures from inflation, labor shortages, and regulatory burden, but five distinct strategies offer owners a path forward, Gastroenterology & Endoscopy News May 23 reports. As detailed in the article, GI practices—especially smaller ones, which make up the majority of the approximately 2,100…
Q1 reports show climb in outpatient surgical volume, diverging trends at Surgery Partners, Ardent Health
Editor's Note In 2025 earnings reports for the first quarter (Q1), both Surgery Partners Inc and Ardent Health Partners Inc posted solid top-line growth and reaffirmed full-year guidance, but they diverged in outpatient performance, TipRanks May 12 reports. Surgery Partners, a major operator of ambulatory surgery centers (ASCs), reported Q1…
Health system mega-mergers fall short amid cost, quality concerns
Editor's Note Chasing size through mega-mergers no longer guarantees sustainability for health systems, according to an April 15 article in HealthLeaders. Many of the nation’s largest systems are reporting significant losses, while emerging evidence links consolidation to stagnant or declining care quality and worsening workforce challenges. The article highlights financial…
Hospital M&A activity drops to historic low amid economic and policy uncertainty
Editor's Note A sharp drop in 2025 brings hospital and health system mergers and acquisitions to their lowest point in years, according to Kaufman Hall’s most recent Mergers and Acquisitions Quarterly Activity Report. Just five transactions were announced in Q1, a steep decline attributed to widespread economic volatility, concerns over…
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