Becker's Healthcare December 5, 2025
Patsy Newitt

ASCs are facing mounting workforce strain as hospitals continue to outpay them for nurses and surgical staff, a gap that leaders say is widening alongside rising living costs and burnout concerns.

Kayla Schneeweiss-Keene, administrator of Houston-based Mann Eye Institute, told Becker’s the organization’s biggest workforce challenge is keeping up with hospital pay rates, particularly as a single-specialty ophthalmology ASC, which sits lower on the reimbursement totem pole than higher-paid specialties such as cardiology or orthopedics.

“It’s hard to keep pace financially and give them hourly rates that the nurses are asking for,” she said. “And it’s hard to keep people because they’re obviously wanting more money.”

Other ASCs are experiencing similar pressures, especially as cost-of-living increases make staff less willing...

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