Becker's Healthcare November 22, 2022
Two leaders joined Becker’s to discuss whether payers are pushing procedures to ASCs and other outpatient settings.
Editor’s note: These responses were edited lightly for clarity and brevity.
Laren Tan, MD. Chair of Loma Linda (Calif.) University Health’s Department of Medicine. There are definitely more policies and obstacles being issued by payers that nudge patient care in obtaining treatments outside the hospital settings. At times the preauthorization can be complex, which leads to not only clinician frustration but also a complicated patient experience.
It is understandable why payers are moving procedures to the ASC setting. Still, it also highlights the complexity of our healthcare environment and the increasing challenge it...