Tag: private payer

Session: Course Correction—Negotiating Payor Rates in the ASC Setting

Editor's Note Negotiating pay rates in the ambulatory surgery center (ASC) setting is a complex and evolving process that requires strategic planning, data-driven decision-making, and strong payer relationships, noted the speakers Amy Coletti, principal, ASC practice, and Matt Kilton, partner, at ECG Management Consultants at this year’s OR Business Management…

Read More

By: Tarsilla Moura
February 12, 2025
Share

Bain Capital seeks full acquisition of Surgery Partners amid growing private equity interest in healthcare

Editor's Note Bain Capital Private Equity put forward a proposal to acquire all remaining shares of Surgery Partners, an ambulatory surgery center (ASC) operator in which Bain Capital already holds a 39% stake, Modern Healthcare January 28 reports. According to a filing with the US Securities and Exchange Commission, the…

Read More

By: Tarsilla Moura
January 29, 2025
Share

Providers push back on insurance cost-cutting hurdles

Editor's Note Escalating administrative hurdles from insurers are heightening tensions between healthcare payers and providers who criticize the measures for threatening patient care, Modern Healthcare reported January 22. According to the article, policies attracting criticism include stringent prior authorization rules, claims denials, and new fees for appeals. For their part,…

Read More

By: Matt Danford
January 23, 2025
Share

Analyzing outpatient surgery emerging trends as ASC market growth expected at $130B by 2031

Editor's Note With the ambulatory surgery center (ASC) market projected to reach $130.6 billion by 2031—a compound annual growth rate of 3.9%—ASC leaders pointed Becker’s ASC Review to key trends and opportunities fueling this growth. Outpatient care continues to expand across various specialties, and several factors are driving this shift,…

Read More

By: Tarsilla Moura
December 4, 2024
Share

Private Equity fuels growth of hospital-owned ASCs amidst rising demand, regulatory loopholes

Editor's Note Private equity investment in hospital-owned ambulatory surgery centers (ASCs) is rising as hospitals seek expansion capital and private equity firms look for profitable partnerships in a growing sector, Modern Healthcare November 4 reports. ASCs have become popular due to their lower costs compared to hospitals, which makes them…

Read More

By: Tarsilla Moura
November 6, 2024
Share

Unpacking the impact of private investment on innovation, ASCs

One privilege of living at this time in history is the availability of choice, especially for health and surgical needs. Those who make healthcare their business understand this as well. According to Tanna et al, ambulatory surgery centers (ASCs) are spreading to rural areas, hospitals are creating hybrid outpatient surgery…

Read More

By: Dr Rosemary Babeaux, DNP, RN, NE-BC, EBP (CH)
July 31, 2024
Share

New report predicts surge in ASC volume over next decade

Editor's Note New findings from health consultant Sg2’s 2024 Impact of Change report projects a 21% increase in ambulatory surgery center (ASC) volume, to reach 44 million by 2034, ASC Focus July 8 reports. An aging population, better diagnostics, and epidemiological factors are driving this demand, Tori Richie, senior consulting…

Read More

By: Tarsilla Moura
July 17, 2024
Share

Changes in ASC ownership: A look at the influencing factors

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.…

Read More

By: Tarsilla Moura
July 10, 2024
Share

Join our community

Learn More
Video Spotlight
Live chat by BoldChat