Tag: Reimbursement

Collaborations key in ASC shift

Editor's Note Hospitals that cling to higher hospital outpatient department reimbursements and resist ASC development could be left behind as payers are applying pressure to move these cases to more affordable settings, according to insights highlighted in a December 11 news story in Becker’s ASC review. One expert advised collaboration…

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By: Carina Stanton
December 19, 2025
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2026 ASC business outlook

Editor's Note Although financial challenges such as lower reimbursement and higher operational costs continue into 2026, opportunities on the horizon present new ways ASC business can evolve, according to a December 15 news story in Ambulatory Surgery Center News. One major opportunity highlighted is the shift of complex care moving…

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By: Carina Stanton
December 16, 2025
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The biggest financial threats to ASCs in 2026

Editor's Note Several ASC leaders recently shared the financial threats they are most concerned about in 2026, including staffing costs and the changing payer landscape, in a December 5 news story in Becker's ASC Review. For example, staffing costs are a top concern for an ASC administrator at a surgery…

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By: Carina Stanton
December 9, 2025
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Survey: ASC leader satisfaction falls slightly amid compensation reductions

Data and surveys

Satisfaction of ambulatory surgery (ASC) leaders with their current jobs/positions has fallen in the past year, according to the 2025 OR Manager Career/Salary Survey. After reaching a 5-year high of 81% in 2024’s survey, the favorable satisfaction rating fell to 72%. However, that percentage aligns with surveys from several years…

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By: Cynthia Saver
October 28, 2025
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CMS launches 6-year model to curb wasteful Medicare spending with AI-driven reviews

Centers for Medicare & Medicaid Services

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced the launch of a new model using artificial intelligence (AI) to target unnecessary Medicare spending, the agency reported in an October 17 update. The voluntary model will run from January 1, 2026, through December 31, 2031, and aims to…

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By: Tarsilla Moura
October 23, 2025
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Private equity bets big on outpatient cardiology as CMS boosts reimbursements

Editor's Note Private equity firms are accelerating their push into outpatient cardiology, lured by reimbursement trends and a fragmented market but shadowed by concerns about patient outcomes and financial motives, Modern Healthcare October 16 reports. Investor activity in cardiology has surged alongside the Centers for Medicare & Medicaid Services (CMS)…

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By: Tarsilla Moura
October 22, 2025
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AI-driven CMS pilot model could slow ASC care despite fraud-fighting goals

Editor's Note The Centers for Medicare & Medicaid Services (CMS) is enlisting artificial intelligence (AI) to combat wasteful spending, but ambulatory surgery centers (ASCs) warn the plan could slow care and increase administrative strain, Ambulatory Surgery Center News October 20 reports. The agency’s new Wasteful and Inappropriate Service Reduction (WISeR)…

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By: Tarsilla Moura
October 22, 2025
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UnitedHealthcare anesthesia cuts spark backlash over patient access risks

Editor's Note UnitedHealthcare’s 15% cut to certified registered nurse anesthetist (CRNA) reimbursements has ignited strong opposition from anesthesia leaders who warn the policy could endanger patient access to safe, affordable care in rural and underserved areas, Nurse.org October 14 reports. On October 1, UnitedHealthcare implemented the new policy, reducing payments…

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By: Tarsilla Moura
October 21, 2025
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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…

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By: Christine Kilgore
October 16, 2025
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The Joint Commission makes nurse staffing a national performance goal for 2026

Editor's Note The Joint Commission has made nurse staffing a national benchmark for hospital accreditation, formally recognizing it as a core measure of patient safety and care quality, Nurse.org October 13 reports. For the first time, hospitals must meet specific staffing standards to earn or maintain accreditation. Under the new…

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By: Tarsilla Moura
October 15, 2025
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