HealthLeaders Media October 22, 2020
The shift in volume to ambulatory surgery centers will put pressure on outpatient hospital revenue, but the type of patients moving to ASCs is likely to be the bigger issue.
CMS is proposing to eliminate the inpatient-only (IPO) procedure list in the outpatient prospective payment system update for FY2021. CMS’ rationale for this proposal is to give patients and physicians more control over the setting and costs of procedures, but in fact, this sets the stage for more procedures to be moved to ambulatory surgery centers (ASC).
The proposal is likely to move volume from the inpatient setting to the outpatient setting, potentially cutting revenue, and shift lower-cost patients to ASCs, further eroding outpatient hospital department margins.
The IPO...
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