Becker's Healthcare January 23, 2026
Relationships across the ASC ecosystem are under growing strain, but ASC leaders say payers are the clear pressure point.
Five executives joined Becker’s to discuss how denials, shifting policies and reimbursement pressure are reshaping how ASCs work with insurers, health systems and anesthesia partners.
Editor’s note: Responses have been edited lightly for clarity and length.
Question: Which relationship is under the most strain right now: payers, physicians, health system partners, anesthesia groups or vendors — and what’s causing it?
Brian Bizub. CEO at Raleigh (N.C.): Orthopaedics: Currently, the most strained relationship is with payers, particularly Medicare Advantage plans. This tension is driven by AI-driven down-coding and denials, delayed payments, post-payment audits, and inconsistent policy application, all of which...
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