Becker's Healthcare June 23, 2023
Patsy Newitt

Alejandro Fernandez, CEO of San Diego-based Synergy Orthopedic Specialists, joined Becker’s to discuss the obstacles to ASC ownership.

Question: What are the biggest obstacles to ASC ownership right now?

Editor’s note: This response was edited lightly for brevity and clarity.

Alejandro Fernandez:

  1. Capital investment: Establishing and operating an ASC requires significant upfront capital investment. This includes facility construction or lease costs, equipment procurement, staffing and ongoing operational expenses. Securing funding for these investments can be challenging, especially for individuals or groups without access to substantial financial resources.
  2. Reimbursement and payer negotiations: ASCs rely heavily on reimbursement from government programs like Medicare and private insurance payers. However, negotiating favorable reimbursement rates with payers can be difficult, and reimbursement...

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