Author's posts
4 payer headlines for ASCs to know
Here are four payer-related headlines in the last two weeks for ASCs to know. 1. Medical practices and hospitals saw claims denials increase and prior authorization denials decrease in 2024, according to new revenue cycle data from Kodiak Solutions. Despite the decline in prior authorization denials, medical practices and hospitals still faced slower payment processing […]
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5 ways ASCs can stay ahead of payer pressure
ASCs have seen a wide range of changes to payer policies in the last year, from narrower reimbursement models to a shift toward bundled payments and alternative payment models. Here are five ways that ASCs are adapting to the shifting payer landscape: 1. Meeting the moment with increased transparency. John Brady, CEO of Fox Valley […]
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House bill includes 2.25% Medicare pay update for 2026
A “massive” budget package passed by the House May 22 includes a 2.25% boost to Medicare physician payments in 2026. The American Medical Association voiced its support for the $8.9 billion increase in pay on May 22. The bill would tie Medicare physician payment to 75% of the Medicare index that tracks physician practice-cost inflation. […]
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New York man charged with posing as physician, distributing opioids
A man in Ironequoit, N.Y., was arrested and charged with offenses related to falsely claiming he was a physician in order to obtain and distribute controlled substances. According to a May 22 news release by the Department of Justice, Kevin Whitman faces three charges, including distributing and dispensing controlled substances, using a registration number issued […]
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Trump replaces surgeon general pick: 5 things to know
President Donald Trump has withdrawn surgeon general nominee Janette Nesheiwat, MD, turning to Casey Means, MD, as his new nominee for the position. Here are five things to know: 1. Dr. Means is a technology entrepreneur and New York Times bestselling author, according to her website. She received her bachelor’s degree and medical training from […]
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5 leadership moves for ASCs to know
Here are five recent leadership moves for ASCs to know: 1. Patrick Conway, MD, CEO of Optum Rx, was named CEO of Optum, the healthcare services arm of UnitedHealth Group and parent company of ASC chain SCA Health. 2. Raleigh, N.C.-based Compass Surgical Partners named Mark Langston as its new chief development officer. 3. CVS […]
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AI outscores GIs on empathy, quality responses: 5 things to know
Studies presented at Digestive Disease Week included some focused on the quality and empathy of AI responses versus those from physicians related to patient questions about gastrointestinal cancers, Medpage Today reported May 6. Here are five things to know about the studies: 1. The studies measured responses to questions about the stigmatizing terms used in […]
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Federal funding freezes, cuts and more: 3 updates
Here are three updates on federal healthcare policy: 1. The Trump administration informed Cambridge, Mass.-based Harvard University that it will no longer provide research grants after federal agencies conducted a “comprehensive review” in late March of its nearly $9 billion in federal grants and contracts. In a May 5 letter to the university, U.S. Secretary […]
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A novel intervention for total knee replacements
Two new studies presented at the World Congress on Osteoarthritis’ 2025 Annual Meeting in Incheon, South Korea, found that a shoe-based biomechanical intervention may have more benefits than traditional physical therapy, Medscape reported May 6. Matthew Bartels, MD, director of rehabilitation medicine and professor of physical medicine and rehabilitation at Montefiore Medical Center and Albert […]
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5 joint ventures shaping the ASC space
Here are five ASC-focused joint ventures so far in 2025, as reported by Becker’s: 1. An April 16 report by Nashville, Tenn.-based law firm Bass, Berry & Sims highlighted a recent joint venture between Cincinnati-based Bon Secours Mercy Health System and Raleigh, N.C.-based Compass Surgical Partners. The joint venture expanded its reach by developing 30 […]
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