Office-based surgery offers new outpatient opportunities
Office-based surgery (OBS) is one of the fastest-growing care settings in the US. From ophthalmology and dermatology to gastroenterology and even orthopedics, more procedures once limited to hospitals or ambulatory surgery centers (ASCs) are now being performed in medical office suites. Among many factors, the growth is being fueled by…
States take aim at outpatient facility fees driving higher commercial health costs
Editor's Note States are sharpening their focus on outpatient facility fees, using new data and reporting mandates to expose how these charges inflate commercial healthcare spending, HealthAffairs October 6 reports. Specifically, Colorado, Maine, Connecticut, and Washington have launched varied but increasingly sophisticated efforts to monitor when and where hospitals bill…
CMS proposal to end inpatient only list draws strong industry response
Editor's Note The plan to eliminate the Medicare Inpatient-Only (IPO) List and expand the Ambulatory Surgery Center Covered Procedures List (ASC-CPL) from the Centers for Medicare & Medicaid Services (CMS) has generated widespread reaction, with more than 3,900 comments submitted during the official feedback period, Ambulatory Surgery Center News September…
Surgical patients see better outcomes but face longer hospital stays, AHA and Vizient report finds
Editor's Note Hospitalized surgical patients in 2024 were nearly 20% more likely to survive than expected compared to 2019, according to an August 5 analysis from the American Hospital Association (AHA) and Vizient. The report credits safety improvements such as reductions in infections, falls, and major complications, even as surgical…
AHA study: HOPD Medicare patients are poorer, sicker, more rural than those seen in physician offices
Editor's Note Medicare patients treated in hospital outpatient departments (HOPDs) present with greater socioeconomic and clinical complexity than peers seen in independent physician offices, including higher prior emergency department (ED) visits and inpatient use. According to an American Hospital Association (AHA) study conducted by KNG Health Consulting and published on…
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 July 22 reports. According to the article, The Centers for Medicare and Medicaid Services (CMS) 2026…
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…
UnitedHealth’s dominant growth forges ahead amid intensifying antitrust scrutiny
Editor's Note In addition to the uptick in acquiring outpatient facilities since 2023, UnitedHealth Group quietly acquired or created more than 250 subsidiaries last year, expanding its already vast network of services comprising a major health insurer, physician practices, a pharmacy benefit manager, and various other healthcare ventures, STAT March…
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…
Three strategies for demystifying the ASC supply chain puzzle
Ensuring safe, quality care requires precise alignment among inventory levels, delivery schedules, storage solutions, and every other element of the supply chain. A single missing piece of this puzzle—say, a delayed shipment or a storage issue—can disrupt the entire picture. Making the pieces fit can be difficult for any healthcare…
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