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…

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About the survey Data for the Career/Salary Survey were collected from April 1 to June 27, 2025. The list comprised ASC administrators who were either OR Manager subscribers or part of an external list. The survey closed with 90 responses. The margin of error is ±5 percentage points at the…

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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…

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Running an ambulatory surgery center (ASC) is not for the faint of heart. ASC leaders are navigating tight margins, stricter-than-ever quality reporting, lean staffing resources, payer squeeze, and a relentless push to be profitable without proper support. And yet, the ASC market is booming. The number of Medicare-certified ASCs has…

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When Betsy Grunch, MD, FAANS, FACS, FCNS, board-certified neurosurgeon known on TikTok and Instagram as @Ladyspinedoc, watched a viral video of a surgeon berating an OR nurse during a livestreamed procedure, she was incredibly bothered by the shameful display. She took to her popular platform and spoke out against that…

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Editor's Note Neuromodulation is shifting from the margins to the forefront of neurological treatment, offering real-world potential to transform care for conditions like epilepsy, Parkinson’s disease, and substance use disorder. As reported by Medical Device Network on May 19, the field is seeing accelerated innovation and investment, with global market…

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Editor's Note Ambulatory surgery center (ASC) leaders elevate safety by treating patient selection as a clinical gatekeeper, then prop that rigor with data-driven workflows, advanced monitoring, and targeted robotics to bring complex spine cases safely into the outpatient space. An interview with Glenn Snyders Jr, MD, medical director and head…

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Editor's Note What is reportedly the first technology to allow dynamic, 3D, segmental visualization of anatomy during surgery earned a second 510(k) clearance from the US Food and Drug Administration, according to an April 8 press release from developer Proprio. Designed to let surgeons measure progress during surgery without scrubbing…

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Editor’s Note A growing body of research is shedding new light on the long-running debate about spinal anesthesia (SA) and general anesthesia (GA) in outpatient surgical settings, Outpatient Surgery Magazine March 12 reports. Recent studies suggest both approaches can be considered safe and effective, with the “best” choice often hinging…

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A wave of policy and regulatory changes is shaking up the healthcare industry—among many other markets. Like the COVID-19 pandemic greatly sped up the proliferation of ambulatory surgery centers (ASCs) by bringing traditional hospital operations to a standstill, ASCs are again on the poise of another boom. Medical innovation abounds…

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