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…
ASCs surge as hospitals and investors chase outpatient growth
Editor's Note Hospitals, physicians, and private equity are accelerating their push into lower-cost outpatient care. According to Colliers US Healthcare Services Research Report Q3 2025, published on September 22, ambulatory surgery center (ASCs) procedure volumes are projected to grow 9% between 2023 and 2028—outpacing hospital outpatient department growth at 7%—and…
Spine surgeon shortage deepens as consolidation, site shifts reshape ASC markets
Editor's Note Hiring for spinal procedures are tightening and consolidation is accelerating, reshaping where and how ambulatory surgery centers (ASCs) secure talent, Becker’s Spine Review October 3 reports. A mounting orthopedic shortage exceeding 5,000 by year-end is making spine one of the hardest specialties to recruit, with timelines stretching and…
Study: Outpatient surgery costs hinge on site of care, network status
Editor's Note Patients and insurers pay far less for outpatient surgical procedures performed at in-network ambulatory surgery centers (ASCs) than at hospital outpatient departments (HOPDs), the American Journal of Managed Care October 6 reports. This study, led by Xiaoxi Zhao, PhD, Christopher Whaley, PhD, and colleagues, analyzed commercial claims data…
Sports medicine procedures cost far less in ASCs than HOPDs
Editor's Note Sports medicine surgical procedures for Medicare patients cost significantly less in ambulatory surgery centers (ASCs) compared with hospital outpatient departments (HOPDs), according to a study published by the Orthopaedic Journal of Sports Medicine on August 29. Researchers analyzed Medicare Procedure Price Lookup data for 62 commonly billed outpatient…
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…
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…
Hospital-affiliated doctors drive highest costs by avoiding lower-cost sites
Editor's Note Patients treated by hospital-affiliated physicians are far less likely to receive specialty procedures in lower-cost settings, while private-equity–affiliated doctors are the most likely to steer patients toward these options, Ambulatory Surgery Center News August 12 reports. The findings come from a Mount Sinai study that examined physician affiliation,…
Mind the gap: Why Medicare pays ASCs less than HOPDs—and what that means
For decades, ambulatory surgery centers (ASCs) have shown their ability to deliver high-quality surgical care at substantially lower cost than hospital outpatient departments (HOPDs). ASCs achieve these savings through leaner operations, streamlined staffing models, and specialty-focused efficiencies, not by compromising safety or outcomes. Studies consistently highlight procedures performed in ASCs…
ASCA 2025: Leading lawmaker reflects on surgery center priorities
Editor's Note At the 2025 Ambulatory Surgery Center Association (ASCA) conference, discussion of legislative priorities extended beyond educational sessions. Thanks to a visit from the ranking lawmaker of the congressional subcommittee responsible for most healthcare policymaking, attendees also got first-hand insight into the latest negotiations on Capitol Hill. US Representative…
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