1 13 Thoughts on ASCs 2) Tom Price, CMS DHHS Nominee A. Orthopedic - - PDF document

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1 13 Thoughts on ASCs 2) Tom Price, CMS DHHS Nominee A. Orthopedic - - PDF document

Nov 07, 2022 475 likes •525 views

13 Thoughts on ASCs Click to edit Master title style Presented by: Scott Becker, JD, CPA, Partner, Publisher Beckers Healthcare, Beckers ASC and Beckers Spine 2017 Texas Ambulatory Surgery Center Annual Conference March 2, 2017

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13 Thoughts on ASCs

Presented by: Scott Becker, JD, CPA, Partner, Publisher Beckers Healthcare, Beckers ASC and Beckers Spine 2017 Texas Ambulatory Surgery Center Annual Conference March 2, 2017

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13 Thoughts on ASCs

Introduction 1) Thank you 2) A Changing time - - No Real Prediction on Obamacare

  • vs. Trumpcare

3) Garden and Gun

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13 Thoughts on ASCs

1) Disruption and changes in industry giants

  • A. USPI - Tenet
  • B. Amsurg - Diversifying
  • C. SCA - Optum
  • D. Regent – ESOP, Recharged
  • E. Surgicenter Development – Total Joints
  • F. Nuehealth – IPAs, Physician Networks
  • G. Physicians Endoscopy – Acquisitions, Single Specialty
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13 Thoughts on ASCs

2) Tom Price, CMS DHHS Nominee

  • A. Orthopedic Surgeon ASC Owner
  • B. Free market advocate
  • C. Counter to 12 years to 40 years of bureaucratic negativity

to entrepreneurs in healthcare at CMS

3) Big 3 Plus Pain – Resilience, Independent

  • A. Orthopedics
  • B. Ophthalmology
  • C. Gastroenterology
  • D. Pain management

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13 Thoughts on ASCs

4) Spine – big increase in outpatient, still payor challenges 5) Out of Network – tougher and tougher 6) Great growth in total joints – E.g., Surgicenter Development 7) Will doctor owned hospitals and micro hospitals make a comeback – the ACA and repeal of Stark sections 8) ASCs – 5,400 to 5,500 largely flat = + and – 100 a year

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13 Thoughts on ASCs

9) Legal

  • A. Share sales
  • B. Share redemptions
  • C. Anesthesia
  • D. Antitrust
  • E. Out of Network
  • F. PODs
  • G. Non-competes
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13 Thoughts on ASCs

10)Bundles – movement and hiccups 11)Payor consolidation slowing; hitting hurdles 12)High deductible plans – not as deadly as expected 13)Strategy

  • A. Know what’s working
  • B. Double down on what works
  • C. Abandon certain lines
  • D. Build a terrific team
  • E. Examine new areas

i. Can you win? ii. Is it worth winning?

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