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The Increased Competition of Ambulatory Surgery Centers (ASCs) to US Hospitals

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The Competition Heats Up!

By Dr. David Edward Marcinko MBA CMP™

www.CertifiedMedicalPlanner.org

[Editor-in-Chief]

Over the last 10 years, Ambulatory Surgery Centers’ (ASCs) footprints have increased dramatically.

As hospitals and health systems accelerate towards population health/ global payment models, such as Accountable Care Organizations (ACOs), lower priced ASCs will become more critical competitors to hospitals.

Assessment

I acquired the Certificate-of-Need [CON], co-founded and operated an ASC for 15 years before sale in 2000 to a public company. My local hospital fought me tooth and nail. I likely would not do so, again, today!

Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

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8 Responses

  1. Office-Based Surgery Provides Greater Autonomy for Physicians

    Office-based outpatient surgeries (OBS) have significantly increased in recent years, with a growing number of specialists electing to perform surgeries in their own offices rather than at outpatient hospitals or ambulatory surgery centers.

    http://www.healthcapital.com/hcc/newsletter/6_12/obs.pdf

    Popularity of OBS has been driven by the potential benefits to provider autonomy, however, commentators have expressed concern regarding the lack of regulation of the physician office setting.

    http://www.Healthcapital.com via
    Hope Rachel Hetico RN MHA

    Like

  2. Hospital-Owned Practices to Receive Lower Medicare Rates Under New Rule

    Physicians and practice managers are not ready to comply with a July 1 deadline for a new Medicare billing policy that would pay lower rates for certain office visits and other services in facility-owned physician practices, associations representing doctors and administrators have told government officials.

    Physician offices wholly owned or operated by hospitals will be required starting on that date to change their coding practices under a regulation from the Centers for Medicare & Medicaid Services. The policy requires a hospital and its entities providing outpatient services to coordinate billing efforts when patients are admitted to the hospital or soon afterward.

    Source: Charles Feigel, AMNews [6/18/12]

    Like

  3. Big Companies Go Surgery Shopping for Employees

    Increasingly, larger corporations are sending employees and their family members needing hip and knee replacements to a handful of hospitals across the country that agree to a low, fixed rate for surgery and scored well on quality of care.

    http://www.latimes.com/business/la-fi-bargain-surgery-20121117,0,7716044.story

    As former President of a private ASC, I appreciate this effort.

    Dr. David Edward Marcinko MBA
    http://www.CertifiedMedicalPlanner.org

    Like

  4. Inside the ambulatory practice of the future [video]

    Internist David Judge, MD, of the Ambulatory Practice of the Future at Massachusetts General Hospital just spoke with Medical Economics about how the practice engages patients in an effort to improve care and contain costs.

    http://medicaleconomics.modernmedicine.com/medical-economics/news/user-defined-tags/ambulatory-practice-future/inside-ambulatory-practice-futur

    Remy

    Like

  5. Doctor-Owned Hospitals Prosper Under Health Law

    Doctor-owned hospitals are earning many of the largest bonuses from the federal health law’s new quality programs, even as the law halts their growth.

    http://www.physiciansnews.com/2013/04/16/doctor-owned-hospitals-prosper-under-health-law/?utm_source=4.16.13&utm_campaign=11713&utm_medium=email

    The hospitals, many of which specialize in heart or orthopedic surgeries, have long drawn the ire of federal lawmakers and competitors. They say physicians often direct the best-insured and more lucrative cases to their own facilities, while leaving the most severely ill patients to others.

    But, are they better?

    Dr. David Edward Marcinko MBA
    http://www.CertifiedMedicalPlanner.org

    Like

  6. Dr. Marcinko,

    The shift away from post-acute hospital-based procedures to ambulatory services, which lack high-cost infrastructures, is “the future of healthcare.”

    Dr. Issac

    Like

  7. The Value of the Non-Equity Model for Surgery Center Management

    When ASCs initially burst on the health care scene, the common practice was for providers to give up significant equity to ASC management and development companies in order to benefit from their expertise.

    In today’s market there is an abundance of ASC expertise; partners no longer need to sacrifice large equity positions to reap the benefits of a management and development company.

    Joe
    http://www.amazon.com/Hospitals-Healthcare-Organizations-Management-Operational/dp/1439879907/ref=sr_1_4?s=books&ie=UTF8&qid=1334193619&sr=1-4

    Like

  8. Definitive Healthcare: Top 10 ASCs Ranked by Number of Medicare Charges

    1. Tower Wound Care Center (CA): $16,775,282; 96,353 Procedures
    2. Center for Cardiovascular Research and Education (AZ): $14,175,090; 1,323 Procedures
    3. Silicon Valley Interventional Surgery Center (CA): $12,200,367; 813 Procedures
    4. River Drive Surgery Center (NJ): $10,276,876; 11,175 Procedures
    5. Ophthalmology Surgery Center Of Dallas (TX): $9,360,424; 9,125 Procedures
    6. Marshfield Clinic – Marshfield Center ASC (WI): $8,856,192; 19,114 Procedures
    7. Fremont Ambulatory Surgery Center (CA): $8,674,363; 6,877 Procedures
    8. University Surgery Center (CA): $8,579,856; 3,549 Procedures
    9. Coronado Surgery Center (NV): $8,475,999; 872 Procedures
    10. Santa Rosa Surgery and Endoscopy Center (CA): $8,189,857; 6,701 Procedures

    Source: Definitive Healthcare, May 4, 2018

    Like

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