Becker's Healthcare July 25, 2024
ASCs in many markets are struggling for leverage with payers, up against massive hospital systems and sparse cost information from the insurance companies.
For Greg DeConciliis, administrator of Boston Out-Patient Surgical Suites and president of Massachusetts’ ASC association, because there’s no threat to go out of network with the payers in his market, his team often has “no leverage” with payer contracts.
This power imbalance is exacerbated by the fact that there’s no real intel into the exact cost savings of ASCs for payers, Mr. DeConciliis told Becker’s.
“It’s very tough in our state, where most of our contracts are statewide with very little negotiation,” he said.
And while payers have been consistent with mirroring Medicare...
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