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12 ASC MANAGEMENT Illinois Pain Institute expands By Eric Oliver I llinois Pain Institute is expanding its presence in Barrington, Ill., by building a 7,000-square-foot office, the Daily Herald reported. The office will allow the practice to treat spine and other painful conditions. The office will be next to the Barrington Pain and Spine Institute, which also has an ASC. Once complete, the campus will be more than 18,000 square feet. Illinois Pain Institute has seven locations in the greater Chicago- land area. n Tennessee orthopedic practice to open clinic, expand surgery center By Eric Oliver M emphis, Tenn.-based OrthoSouth is developing a clinic and expanding its surgery center on the first floor of a medical office building in Germantown, Tenn., the Memphis Business Journal reported. What you should know: 1. OrthoSouth already has an ASC in the medical office build- ing. It will be building a clinic and renovating and expanding its surgery center. 2. OrthoSouth is calling the coming development "state-of-the- art." OrthoSouth has operated the surgery center since 2000 and purchased the center in 2018. 3. The expanded surgery center will increase its footprint to 30,000 square feet. The center will have a noninvasive procedure room, six operating rooms and two-times the amount of patient recovery rooms. 4. OrthoSouth expects the clinic to open in February 2021 and the surgery center to open in fall 2021. n 3 ASCs launching total joint programs By Angie Stewart S ince the beginning of August, Becker's ASC Review has reported on three ASCs launching total joint programs: 1. Ian Byram, MD, performed the inaugural total shoulder replacement at the Bone and Joint Institute of Tennessee Sur- gery Center in Franklin. 2. The Surgery Center at Shrewsbury (Mass.) recorded its first total hip replacement surgery. 3. Martinsburg, W.Va.-based Tri-State Surgical Center is now of- fering patients access to total knee replacement surgeries. n Medicare to save $73.4B with surgery in ASCs through 2028: 5 things to know By Laura Dyrda A new report from the Ambulatory Surgery Center Association shows performing surgery on Medicare patients in ASCs instead of hospital outpatient departments saved $4.2 billion in 2018, and the savings are expected to climb significantly in the next decade. KNG Health Consulting conducted an analysis of Medicare payment data from 2011 to 2018 on outpatient surgical procedures in ASCs and hospital outpatient departments. e analysis estimated historical and po- tential savings with a focus on total knee replacements. Five key points: 1. Medicare saved $28.7 billion from 2011 to 2018 from surgeries performed in ASCs instead of hospital outpa- tient departments. e report projects Medicare will save $73.4 billion from 2019 to 2028, with $12 billion saved in 2028 alone. 2. e percentage of total knee replacement and knee mosaicplasty is expected to grow from 13.4 percent of all procedures in ASCs in 2020 to 18 percent in 2028, a 3.7 percent annual growth. Based on that projection, ASC savings for Medicare total knee replacements would be $2.95 billion from 2020 to 2028. 3. Most of the savings in the last decade are attributed to high-volume procedures, including cataract surgeries and colonoscopies, but the report estimates procedures such as endocrine, cardiovascular and orthopedic sur- gery will drive most of the $73.4 billion savings through 2028. 4. e following five specialties are expected to save Medicare $1 billion per year by being performed in the ASC: · Eye and ocular adnexa · Cardiovascular · Nervous system · Digestive system surgery · Musculoskeletal surgery 5. ere are more than 5,800 Medicare-certified ASCs in the U.S., with the most common procedures today being cataract surgery, colonoscopy, upper GI endoscopies and pain management procedures. n