Becker's ASC Review

15 ASC MANAGEMENT USPI, AmSurg & more: Large ASC chains by the numbers By Patsy Newitt H ere's the number of ASCs, affiliated positions and states with centers for seven of the largest ASC chains: 1. United Surgical Partners International (Dallas): • 312 surgical facilities • 11,000+ affiliated physicians • 30 states with centers 2. AmSurg (Nashville, Tenn.): • 250+ surgery centers • 10,000+ affiliated physicians • 34 states with centers 3. Surgical Care Affiliates (Deerfield, Ill.): • 250+ surgical facilities • 10,000+ affiliated physicians • 35 states with centers 4. HCA Healthcare (Nashville, Tenn.): • 121 ASCs and 21 endoscopy centers • 3,200 affiliated physicians • 16 states with centers 5. Surgery Partners (Brentwood, Tenn.): • 127 surgical facilities • 4,000 affiliated physicians • 29 states with centers 6. SurgCenter Development (Towson, Md.): • 225 developed ASCs, 92 in current portfolio • 1,500+ affiliated physicians • 22 states with centers 7. PE GI Solutions (Jamison, Pa.): • 60+ centers • 600+ affiliated physicians • 19 states with centers n 58% of surgery centers altered employee health plans to reduce costs: 3 primary tactics By Alan Condon Nearly all ASCs offer employees health insurance benefits, but many in the past year have made changes to control costs. The Ambulatory Surgery Center Association's 2021 Salary & Benefits Survey found that 98 percent of ASCs offer health insurance benefits for employees, and 95 percent offer family insurance plans. The survey includes results from 600 ASCs with a median of 20 em- ployees and 3,483 cases per year. While ASCs need a health insurance benefit to stay competitive, 58 percent of respondents reported making changes to their health plans last year to control costs. Those changes include: 1. Increasing deductibles 2. Increasing employee copay 3. Changing insurance carriers The report also found that ASCs are beginning to offer flexible spend- ing accounts at a higher rate than in the past, and preferred provider organization plans are the most common among ASC employees. n HCA Healthcare Q2 outpatient surgeries increase 52.5% from 2020: 6 notes By Patsy Newitt N ashville, Tenn.-based HCA Healthcare reported an increase in both total outpatient surgeries and patient revenue from its outpatient facilities in the second quarter of 2021. Six key details: 1. Outpatient surgeries increased 52.5 percent — from 170,911 to 262,107 — in the second quarter compared to the same period in 2020. 2. Inpatient surgeries increased 15 percent in the second quarter of 2021 compared to the same period last year. 3. Outpatient revenues as a percentage of patient revenues increased from 31.8 percent in the second quarter of 2020 to 38.2 percent in 2021. 4. Outpatient surgeries increased 3.4 percent compared to the second quarter of 2019 — from 253,441 to 262,107. 5. For the first half of 2021, outpatient surgeries increased 23.9 percent compared to the same period of 2020. 6. HCA Healthcare has 122 freestanding ASCs. n

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