Becker's Healthcare October 12, 2021
Insurers and patients continue to put pressure on hospitals and health systems to shift certain procedures and services away from hospital outpatient departments to ASCs, where cost savings can be significant.
Twelve insights on the ASC and HOPD reimbursement gap, according to reports from the Ambulatory Surgery Center Association and Regent Surgical Health, among other sources.
1. The cost differential is partly attributed to how CMS uses different measures of inflation to update each payment system. For HOPDs, CMS uses the hospital market basket, which measures the cost of medical expenses. For ASCs, the agency uses the Consumer Price Index-Urban, which measures the cost of products such as milk and bread, arriving at an inflation rate that historically is lower...
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