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    Dr. Marcinko is originally from Loyola University MD, Temple University in Philadelphia and the Milton S. Hershey Medical Center in PA; as well as Oglethorpe University and Emory University in Georgia, the Atlanta Hospital & Medical Center; Kellogg-Keller Graduate School of Business and Management in Chicago, and the Aachen City University Hospital, Koln-Germany. He became one of the most innovative global thought leaders in medical business entrepreneurship today by leveraging and adding value with strategies to grow revenues and EBITDA while reducing non-essential expenditures and improving dated operational in-efficiencies.

    Professor David Marcinko was a board certified surgical fellow, hospital medical staff President, public and population health advocate, and Chief Executive & Education Officer with more than 425 published papers; 5,150 op-ed pieces and over 135+ domestic / international presentations to his credit; including the top ten [10] biggest drug, DME and pharmaceutical companies and financial services firms in the nation. He is also a best-selling Amazon author with 30 published academic text books in four languages [National Institute of Health, Library of Congress and Library of Medicine].

    Dr. David E. Marcinko is past Editor-in-Chief of the prestigious “Journal of Health Care Finance”, and a former Certified Financial Planner® who was named “Health Economist of the Year” in 2010. He is a Federal and State court approved expert witness featured in hundreds of peer reviewed medical, business, economics trade journals and publications [AMA, ADA, APMA, AAOS, Physicians Practice, Investment Advisor, Physician’s Money Digest and MD News] etc.

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    As a state licensed life, P&C and health insurance agent; and dual SEC registered investment advisor and representative, Marcinko was Founding Dean of the fiduciary and niche focused CERTIFIED MEDICAL PLANNER® chartered professional designation education program; as well as Chief Editor of the three print format HEALTH DICTIONARY SERIES® and online Wiki Project.

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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™



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.


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!


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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9 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.


    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


  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]


  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.


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

    Dr. David Edward Marcinko MBA


  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.




  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.


    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


  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


  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.



  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


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