Editor's Note New research indicates the anesthetic combination of remimazolam and fentanyl provides optimal hemodynamic stability for patients undergoing short outpatient interventional radiology (IR) procedures, Anesthesiology News July 16 reports. This study, presented at the 2024 annual meeting of the Society for Ambulatory Anesthesia, compared common anesthetic combinations at a…

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Editor's Note On July 10, CMS proposed Medicare payment rates for hospital outpatient and ambulatory surgery center (ASC) services for 2025.  Published annually, the Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System Proposed Rule will have a 60-day comment period, which this year ends September 9 prior to…

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Editor's Note UnitedHealth Group acquired dozens of outpatient facilities, particularly surgery centers, in 2023, often without public announcements, STAT March 11 reports. This builds on their network of about 90,000 physicians. Many new centers are in areas where UnitedHealth dominates the Medicare Advantage market. A major acquisition was National Cardiovascular…

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Editor's Note As aging ambulatory surgery center (ASC) physician-owners retire, many ASCs are struggling with succession plans, Outpatient Surgery Magazine May 1 reports. Per the article, younger surgeons often lack the capital to establish freestanding ASCs, and with tight margins in the ASC market, a capital infusion is often needed.…

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Editor's Note Expected to grow at an average annual rate of 5.6%, US healthcare spending will outpace GDP growth—projected at 4.3%--and rise to $7.7 trillion by 2032, according to a June 28 report in ASC focus. The $7.7 trillion figure amounts to 19.7% of GDP. The report is sourced from…

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Editor's Note Starting August 1, ambulatory surgical centers (ASCs) will need to comply with new and revised requirements for Life Safety Code® and patient rights, a June 26 news update from The Joint Commission reports. These updates align with the Centers for Medicare & Medicaid Services (CMS) Conditions for Coverage.…

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Gastrointestinal (GI) endoscopy is one of the most common procedures in the US. Performed more than 17.1 million times per year in inpatient and outpatient hospital settings as well as ambulatory surgery centers (ASCs), GI procedures account for 68% of all endoscopies, according to a May 2022 article in Digestive…

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Editor's Note Amid growing concerns over healthcare spending and affordability, there is bipartisan interest in aligning Medicare payments for outpatient services across various care settings through "site-neutral" payments, KFF June 14 reports. As a June 2023 Modern Healthcare article explains, last year Congress reviewed legislation to expand site-neutral payment policies,…

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Editor's Note In a recent ASCA Audio Update, Charlie Leonard, public relations and public affairs consultant, spoke with Steven Obrech, associate director of government affairs at ASCA, to discuss various legislative issues affecting ambulatory surgery centers (ASCs). This discussion showcased ongoing legislative challenges and efforts to support ASC operations at…

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Editor's Note Robotic liver surgery can be performed safely as an outpatient procedure, according to findings from the City of Hope cancer research organization in Duarte, California. According to a June 10 press release, the study analyzed data of 307 patients who underwent outpatient robotic liver surgery (defined as requiring…

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