Becker's Healthcare July 24, 2024
For many ASCs, navigating payer behavior and declining reimbursements is the biggest challenge in maintaining profits.
Jim Freund, managing partner for Physician Transaction Advisors, told Becker’s the biggest threat to ASCs is the reimbursement difference between ASCs and hospital outpatient departments.
“There’s no reason that cases shouldn’t be paid the same whether they’re outpatient or inpatient,” he said. “If you’re doing a total joint, it should be reimbursed at one level, but hospitals are being reimbursed much higher than ASCs. I think that’s a huge threat. It doesn’t make sense, and it’s all political. It’s the same results, same outcome, same procedure, but you’re being reimbursed at completely different rates if you’re a surgery center versus a hospital.”
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