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BECKER'S ASC REVIEW 2 orthopedic groups with ASCs partner with insurers on bundled payments in the same week: 5 things to know During a seven-day period in May, Philadelphia- based Rothman Institute entered into a five-year bundled payment deal with Independence Blue Cross and Newport Beach, Calif.-based DISC Sports & Spine Center partnered with a payer for an in- network bundled payment model. ASC chains own 28% of the market: 5 key trends to know e multi-site operators own around 28 percent of Medicare-certified ASCs in the U.S., a reflection of the market's true fragmentation, according to VMG Health Intellimarker. As of December 2017, USPI held the most centers with 261 ASCs. Private equity firm KKR will acquire Nashville, Tenn.-based Envision Healthcare for $9.9 billion, a decision unanimously approved by Envision's board of directors. When the transaction is complete, Envision will become a privately owned company. KKR also holds Covenant Surgical Partners in its portfolio, and will have around 300 ASCs when the transaction is complete. Envision will seek shareholder approval at the 2018 annual meeting, held before Oct. 1. continued on page 41 continued on page 25 KKR acquiring Envision Healthcare for $9.9B — 7 insights Inside the issue: 16 ASCs embracing price transparency p. 26 Dr. James Andrews ranks No. 7 richest physician in the world p. 42 OptumCare aims to serve 75 markets across the US: 5 key points on the future p. 21 PE group partners with ophthalmology practices to form Vision Integrated Partners— 4 insights p. 23 3 ASCs, Cigna settle alleged ERISA violation suit p. 26 Total joints in ASCs — key challenges, opportunities from Dr. Michael Chmell p. 42 Florida ASC administra- tor accused of stealing equipment to sell on eBay p. 8 32 supply chain companies for orthopedic & spine ASCs to know July/August 2018 • Vol. 2018 No. 4 25th Annual meeting: The Business & Operations of ASCs October 18-20, 2018 | Swissotel, Chicago, Illinois 175 Total Speakers 150+ Physicians and Surgeons Speaking Keynotes from Bobbi Brown, Lou Holtz, Reince Priebus, David Axelrod and more Call 1.800.417.2035 or email or visit REGISTER TODAY 45+ ARTICLES INSIDE INSIDE THE ISSUE continued on page 23

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