Becker's Healthcare December 4, 2023
ASCs are facing obstacles from payers in many markets to receive the reimbursements leaders say are needed to meet margins. Here is how many leaders are shifting their strategy.
1. Reevaluating contracts
ASCs are focusing on reevaluating payer contracts to stay ahead of potential reimbursement declines, particularly with a rise in denials for Medicare Advantage members.
“With the inflationary curve on the rise and another looming cut to the physician fee schedule, it is imperative that we re-examine our payer contracts with all other payers in our market,” Andrew Lovewell, CEO at Columbia (Mo.) Orthopaedic Group, told Becker’s. “Many of the Medicare Advantage plans in our market are trying to pay below the Medicare physician fee schedule, and none...
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