Category: ASC Coding, Billing and Collections

MedPAC is urging Congress to increase Medicare pay in its 2025 payment update recommendations drafted Dec. 8. 

Amazon, CVS Health and Optum are no strangers to value-based care. Here’s how they dug deeper into the model in 2023: 

Cardiac surgeons are the physician specialty with the highest average charges, according to a November report from Definitive Healthcare. 

The ASC payable list from CMS has seen sizable change in the last five years — but has it been enough to allow ASCs to thrive?

As of Dec. 1, Roseville, Calif.-based Adventist Health will no longer accept Blue Shield of California insurance plans. 

In November, CMS announced plans to reduce overall physician pay by 1.25% in 2024 and update the conversion factor to $32.74, a 3.4% decrease over last year, much to the chagrin of physicians and ASC leaders alike. 

ASC leaders are becoming increasingly frustrated with the reimbursement disparity between hospital outpatient departments and surgery centers.

Here are five statistics on the adaptation, popularity and potential benefits of value-based payment models to provide insight for ASC leaders:

Louisville, Ky.-based Baptist Health will officially cut ties with UnitedHealthcare and Wellcare’s Medicare Advantage plans beginning in January, according to a Nov. 30 report from Louisville Public Media. 

ASCs are facing obstacles from payers in many markets to receive the reimbursements leaders say are needed to meet margins. Here is how many leaders are shifting their strategy.