Issue link: https://beckershealthcare.uberflip.com/i/1117375
12 ASC MANAGEMENT Average annual change in FFS beneficiary volume 30. 2012 - 2016: 1.2 percent 31. 2016 - 2017: 1.7 percent Pain management ASCs grew most rapidly during the period cov- ered by the report between 2015 and 2017. In 2017, there were 100 more pain management ASCs billing Medicare than in 2015. Changing technology and clinical practices are contributing to the expansion of the types of procedures performed in ASCs. As this trend continues, more knee and hip arthroplasty procedures may be done in ASCs. ASCs are more convenient for patients than hospital outpatient de- partments, according to MedPAC. Additionally, patients' coinsurance is lower in ASCs than HOPDs for procedures covered on the ASC payment system. Value-based care and ASCs' low-cost settings make ASCs appealing investments for private equity firms and hospital systems. e major- ity of ASCs billing Medicare in 2017 specialized in a single area. In 2017, 61 percent of ASCs were single-specialty and 40 percent were multispecialty. Top ASC specialties: 32. Gastroenterology: 21 percent 33. Ophthalmology: 21 percent 34.Pain management: 8 percent 35. Dermatology: 4 percent 36. Urology: 3 percent 37. Podiatry: 2 percent 38. Orthopedics/musculoskeletal: 1 percent 39. Respiratory: 1 percent 2018 MedPAC provider services file data from CMS shows that most ASCs are for profit: For profit 40. Open in 2012: 93.6 percent 41. Open in 2017: 93.8 percent 42. New in 2017: 92.6 percent Nonprofit 43. Open in 2012: 3.8 percent 44. Open in 2017: 3.5 percent 45. New in 2017: 5.8 percent Government 46. Open in 2012: 2.7 percent 47. Open in 2017: 2.7 percent 48. New in 2017: 1.6 percent n UnitedHealth, Tenet & HCA rank among top 50 largest medical group organizations By Angie Stewart T he 50 largest medical group organizations own and manage about 27,546 medical sites and employ 125,135 physicians, according to IQVIA. The top 25, ranked by number of unique physicians: 1. Kaiser Permanente (Oakland, Calif.): 15,543 2. Ascension Health (St. Louis): 5,496 3. UC Health (Oakland): 5,303 4. Veterans Health Administration (Washington, D.C.): 4,877 5. Mayo Clinic (Rochester, Minn.): 4,550 6. Providence Saint Joseph Health (Renton, Wash.): 4,082 7. HCA Healthcare (Nashville, Tenn.): 3,788 8. Trinity Health (Livonia, Mich.): 3,741 9. Catholic Health Initiatives (Englewood, Colo.): 3,207 10. Fresenius Medical Care (Waltham, Mass.): 3,113 11. Sutter Health (Sacramento, Calif.): 3,052 12. UPMC: 2,823 13. DaVita (Denver): 2,795 14. Partners Healthcare System (Boston): 2,658 15. New York Presbyterian Healthcare System (New York City): 2,578 16. Atrium Health (Charlotte, N.C.): 2,458 17. Community Health Systems (Franklin, Tenn.): 2,257 18. Northwell Health (New Hyde Park, N.Y.): 2,225 19. NYU Langone Health (New York City): 2,067 20. Penn Medicine (Philadelphia): 1,990 21. Mercy (Chesterfield, Mo.): 1,947 22. Cleveland Clinic: 1,916 23. UnitedHealth Group (Minnetonka, Minn.): 1,852 24. Tenet Healthcare (Dallas): 1,821 25. Baylor Scott and White Health (Dallas): 1,803 n