Outpatient Surgery Centers Competing with Hospitals

Ambulatory surgical centers (ASCs) are making significant strides in the outpatient surgery market, accounting for over half of all outpatient surgical procedures in the United States. Projections indicate that ASCs will experience even greater volumes as outpatient surgery procedures are expected to increase by approximately 15% by 2028, according to Fortune Business Insights. This surge in ASC growth can be attributed to the cost-effectiveness of their services, as highlighted by Kemal Erkan, Chairman of the American Surgery Center and CEO of United Medical. Erkan emphasizes that ASCs offer substantial cost savings compared to hospitals, paving the way for a future focused on reducing healthcare expenses.

Shifting Dynamics

Over the past decade, the landscape of surgical procedures has shifted from inpatient to outpatient facilities, primarily due to advancements in technology, telehealth, electronic health records (EHRs), and mobile health applications. These innovations have streamlined patient monitoring, particularly postoperatively and for chronic conditions, contributing to the rise of outpatient care. The demand for outpatient services has grown significantly in various areas such as diagnostic and ultrasound services, cardiac catheterization, spinal, bariatric, and cataract surgeries. This shift has prompted hospitals to acquire outpatient facilities and physician practices, while also establishing ambulatory doctor offices on their campuses, in an effort to expand their market share.

The financial benefits for surgeons working in ASCs are evident. When performing outpatient surgeries in hospitals, surgeons receive no facility fees. In contrast, ASCs offer a more favorable financial arrangement. Erkan points out that an average gallbladder surgery costs $12,000 in a hospital setting, while the same procedure costs only $2,200 at an ASC. This significant cost disparity highlights the financial advantage for surgeons working in ASCs.

Outpatient Surgery CMS Initiatives and Policy Shifts

The Centers for Medicare and Medicaid Services (CMS) has made efforts to shift more inpatient care to outpatient surgery settings. Although initially attempting to eliminate the Inpatient Only (IPO) list from the Outpatient Prospective Payment System rule for 2021, CMS later halted the elimination due to stakeholder feedback. The IPO list includes procedures for which Medicare only covers expenses when performed in an inpatient setting. However, CMS added 11 services, including total hip replacements, to the ASC Covered Procedures List, which subsequently increased ASC volumes. In subsequent rule changes, CMS added the services back to the IPO list for 2022. The proposed rule for 2023 recommends removing 10 procedures from the IPO list, leading to ongoing debates on policy rollbacks and their impact on patient access.

The Future Outlook

The United States ambulatory surgical centers market is projected to reach a value of $58.85 billion by 2028, according to the Fortune Business Insights report. With ASCs specializing in various types of surgeries, such as orthopedics or bariatrics, these centers offer focused expertise and streamlined patient care. Technological advancements, including cloud platforms and integrated EHRs provided by companies like Cerner, have further enhanced the functionality and efficiency of ASCs. The integration of patient information and real-time data management has brought ASCs closer to the capabilities of traditional hospitals.

Ambulatory surgical centers are transforming the landscape of outpatient surgery in the United States. With a strong focus on cost-effectiveness and specialized services, ASCs are poised for significant growth. As policy debates continue to shape the future of healthcare delivery, the role of ASCs will remain crucial in providing quality care while reducing healthcare costs. The integration of technology and streamlined processes ensures that ASCs are well-equipped to meet the evolving needs of patients and surgeons alike.

Surgeons – Why You Should Choose SoFlo Same Day for Ambulatory Surgeries

SoFlo Same Day Surgery Center has implemented various measures to ensure patient safety. This includes following strict infection control protocols and providing a comfortable and welcoming environment for patients. Furthermore, the center is constantly looking for ways to improve its services and enhance the patient experience. With a team of dedicated and skilled professionals, patients can expect to receive personalized care that meets their unique needs. The center also prides itself on offering a wide range of surgical procedures, from routine to complex, to cater to different patients’ needs. Overall, South Florida’s premier same day ambulatory surgery center is committed to providing the highest quality healthcare services to its patients.

South Florida Same Day Surgery Center serves Pompano Beach and South Florida, offering state-of-the-art ambulatory outpatient surgical services. Therefore, if you are a surgeon considering a move to an ASC, evaluate the specific needs of your practice and patients. South Florida Same Day Surgery Center is a state-of-the-art facility with specialized staff and lower costs. Visit our new office located in Pompano Beach, Florida, and join our outpatient center. We are actively searching for new surgeons. So, start scheduling your surgeries with South Florida Same Day Today. Call (954) 532-1160 to speak with one of their skilled administrators.