Becker's Healthcare December 30, 2025
As reimbursement pressure intensifies and payers accelerate site-of-service shifts, ASCs are entering 2025 facing a payer landscape that is becoming increasingly unpredictable.
Andrew Lovewell, CEO of Columbia Orthopaedic Group, joined Becker’s to discuss how payer dynamics are evolving and where his organization is investing next.
Editor’s note: This interview was edited lightly for clarity and length.
What’s one word to describe the ASC payer environment in 2025?
Andrew Lovewell: Volatile. In 2025, the ASC and physician practice payer environment is volatile because reimbursement pressure, site-of-service shifts, and payer policy changes are happening faster than leaders can operationalize them. ASC leaders are navigating tightening rates, increasing prior authorization requirements, and an onslaught of payer audits/recoupments/takebacks, all while trying to...
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