Becker's Healthcare May 11, 2022
Patsy Newitt

Snagging profitable payer contracts and high reimbursements has historically been an obstacle for ASCs, particularly when competing with hospitals’ big pockets.

However, many ASC leaders are seeing a shift in payer behavior — with insurers beginning to favor ASCs. And while some ASC owners are reporting efforts by insurers to increase prior authorization requirements and ramping up denials, others are seeing evidence of payers advocating for ASCs.

“With the continued rising cost of patient care in the hospital setting, ASCs have become many insurance companies’ preference for outpatient surgery,” Dianna Reed, administrator of Sani Eye Surgery Center in Templeton, Calif., told Becker’s.

Many payer policies in the past year have pointed to a growing interest in the...

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