Major insurers pledge prior authorization reform
Editor's Note Nearly 50 major US health insurers—including UnitedHealthcare, Aetna, Cigna, Elevance, and Humana—have pledged to reform prior authorization practices, with the goal of easing administrative burdens and improving access to care, according to a June 23 article in Healthcare Dive. As detailed in the article, the announcement came from…
Bad debt climbs as patient defaults, denials impact hospital revenue growth
Editor's Note Bad debt—payments hospitals expected to collect but ultimately had to write off—is increasing across hospitals as patients struggle to pay their share of healthcare costs and insurers raise the rate of claim denials, Modern Healthcare reported June 19. Citing a Kaufman Hall analysis of data from about 700…
Report: Hospitals double down on ASCs as outpatient shift accelerates
Editor's Note Hospitals and health systems are all-in on ambulatory surgery centers (ASCs), with ownership now the rule rather than the exception, according to the 6th Avanza Intelligence Hospital Leadership ASC Survey published in 2025. The report, produced in partnership with HealthLeaders Media, shows 82% of hospitals now own at…
Survey: Tariffs expected to increase hospital costs, disrupt supply chains
Editor's Note Rising tariff-related costs are expected to significantly impact hospital budgets and healthcare supply chains, according to a March 27 report in Becker’s Hospital Review. The article focuses on a recent survey conducted by Black Book Market Research in January before the US enacted 25% tariffs on Canadian and…
Session: Course Correction—Negotiating Payor Rates in the ASC Setting
Editor's Note Negotiating pay rates in the ambulatory surgery center (ASC) setting is a complex and evolving process that requires strategic planning, data-driven decision-making, and strong payer relationships, noted the speakers Amy Coletti, principal, ASC practice, and Matt Kilton, partner, at ECG Management Consultants at this year’s OR Business Management…
Bain Capital seeks full acquisition of Surgery Partners amid growing private equity interest in healthcare
Editor's Note Bain Capital Private Equity put forward a proposal to acquire all remaining shares of Surgery Partners, an ambulatory surgery center (ASC) operator in which Bain Capital already holds a 39% stake, Modern Healthcare January 28 reports. According to a filing with the US Securities and Exchange Commission, the…
Providers push back on insurance cost-cutting hurdles
Editor's Note Escalating administrative hurdles from insurers are heightening tensions between healthcare payers and providers who criticize the measures for threatening patient care, Modern Healthcare reported January 22. According to the article, policies attracting criticism include stringent prior authorization rules, claims denials, and new fees for appeals. For their part,…
Analyzing outpatient surgery emerging trends as ASC market growth expected at $130B by 2031
Editor's Note With the ambulatory surgery center (ASC) market projected to reach $130.6 billion by 2031—a compound annual growth rate of 3.9%—ASC leaders pointed Becker’s ASC Review to key trends and opportunities fueling this growth. Outpatient care continues to expand across various specialties, and several factors are driving this shift,…
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…
Unpacking the impact of private investment on innovation, ASCs
One privilege of living at this time in history is the availability of choice, especially for health and surgical needs. Those who make healthcare their business understand this as well. According to Tanna et al, ambulatory surgery centers (ASCs) are spreading to rural areas, hospitals are creating hybrid outpatient surgery…
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- Study: Attire shapes patient trust, perceptions