Editor's Note Older age alone should not exclude patients from ambulatory general surgery. A retrospective study published in Cureus on August 27 found that patients over 75 undergoing short-stay general surgical procedures experienced complication and reintervention rates comparable to younger peers, despite higher comorbidity and anesthetic risk scores. The analysis…
Editor's Note Artificial disc replacement (ADR) no longer requires a hospital stay. In one of the largest analyses to date, a California surgical team reviewed 1,043 outpatient ADR cases over 6 years and found zero immediate hospital transfers, zero transfusions, and every patient discharged home in under 24 hours, LA…
Editor's Note Pulmonary embolism (PE) and deep vein thrombosis (DVT) are rare after same-day surgeries, but when they occur, they carry high risks of death and readmission. According to Anesthesiology News May 12, a University of Texas Southwestern Medical Center analysis of more than 1.1 million outpatient procedures found an…
The migration of surgical cases from inpatient settings to ambulatory surgery centers (ASCs) continues to reshape perioperative leadership in 2025. Nationally, the trend is driven by payer incentives, patient preference, and cost pressures, with ASCs now performing more orthopedic, spine, and complex outpatient procedures than ever before. In fact, the…
Editor's Note The Centers for Medicare & Medicaid Services (CMS) is moving to eliminate its Inpatient Only (IPO) List over the next 3 years, a decision that could permanently shift more surgical procedures from hospitals to outpatient settings. According to an August 24 article from Fierce Healthcare, the policy promises…
Editor's Note Artificial disc replacement (ADR) in the cervical spine can be performed safely, efficiently, and cost-effectively in outpatient/ambulatory surgery centers (ASCs), Ortho Spine News July 31 reports. The article details research from Steven J. Girdler, MD, of DISC Surgery Center, who reviewed 6 years of data from 1,043 patients…
Editor's Note Hospital operating margins rose in June as outpatient revenue growth fueled stronger financial performance, though rising bad debt and non-labor expenses continue to pressure stability, according to Kaufman Hall’s latest National Hospital Flash Report. HealthLeaders August 18 covered the findings. As detailed in the article, the median year-to-date…
Editor's Note Medicare Advantage (MA) patients undergoing elective surgery incurred lower costs than comparable patients in traditional Medicare (TM) without higher readmission rates and with no significant difference in mortality rates, according to a study published August 1 in JAMA Health Forum. The findings suggest that MA plans reduce surgical…
Editor's Note As we begin National Ambulatory Surgery Center (ASC) Month, we’ve been reflecting on all OR Manager has to offer this critical subset of our audience—and all that is yet to come. First, why celebrate ASCs, and how to get involved? According to the Ambulatory Surgery Center Association…
Editor's Note Hospital-employed physicians are least likely and private equity (PE)-affiliated physicians most likely to provide care in lower-cost ambulatory surgery centers (ASCs) or offices, according to a study published July 24 in the Journal of Market Access & Health Policy These care site differences translate to substantial variation in…