Becker's Healthcare January 26, 2026
As payer prior authorization requirements grow more complex, ASCs are increasingly caught in what one administrator describes as a “game of chicken” between patient care and financial survival.
Elisa Auguste, administrator at East Setauket, N.Y.-based Precision Care Surgery Center and vice president of the New York State Association of ASCs, joined Becker’s to discuss how the disconnect between payers, surgeons and ASCs is leading to delayed care, denied claims and mounting pressure on operations.
Editor’s note: Responses have been lightly edited for clarity and length.
Question: How have payer authorization and reimbursement practices changed over the last five years or so, and what has that meant for how your ASC operates day to day?
Elisa Auguste: The biggest change...
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