Becker's Healthcare November 10, 2025
Patsy Newitt

A growing anesthesia provider shortage is forcing ASCs to rethink long-standing business models.

Across the country, anesthesia groups are shifting from traditional fee-for-service arrangements to hourly or salaried models, according to Megan Friedman, DO, chair and medical director of Los Angeles-based Pacific Coast Anesthesia Consultants, and many centers are struggling to adapt.

By 2036, the U.S. is expected to be facing a shortage of 6,300 anesthesiologists nationwide, according to a white paper from Medicus Healthcare Solutions. The report also predicted that the U.S. will also face a shortage of 450,000 certified registered nurse anesthetists by the end of 2025.

Dr. Friedman told Becker’s that for many ASCs, the shift has been abrupt. Before the shortage, the market was oversaturated...

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