Becker's ASC Review

Becker's ASC Review February 2015

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Practical Business, Legal and Clinical Guidance for Ambulatory Surgery Centers ASCREVIEW February 2015 • Vol. 2015 No. 2 INDEX ASC Management p. 8 Transactions & Joint Ventures p. 11 Coding & Billing p. 20 Total Joints in ASCs — 8 Financial Issues Total joints are high acuity cases, but here are the financial issues centers face. p. 10 Hospital Minority vs. Majority Partner Which makes the most sense for your ASC? p. 11 CMS Covers Spine Surgery Dr. Richard Wohns discusses whether spine will make sense financially in ASCs. p. 20 Healthcare Spending Over the Next 5 Years Eight key observations on where healthcare spending is headed. p. 12 A New Era for ASC Partnerships — How to Optimize Payer & Patient Relationships By Laura Dyrda The days of easy negotiations for ambulatory surgery cen- ters to make significant year-over-year increases are in the past. However, there is some good news: increased awareness of the ASC business model allows owners and operators to have deeper discussions with payers. As one looks at the next couple of years and thinks about strategy, there are many different thoughts as to what is the right strategy. Increas- ingly, a number of these thoughts are untested and put forth by professors and consultants. The strategies reso- nate less and less with what is going on in the real world, what works and what is successful. As I read articles like "The Strategy That Will Fix Healthcare," published in Harvard Business Review by Har- vard Business School Professor Mi- chael Porter, PhD, and Thomas Lee, MD, CMO of Press Ganey Associ- ates, one grapples with the mix of intelligent and ridiculous thought all put forth by the same brilliant strategic professor. A core challenge in reading some of the strategy pa- pers is that the authors tend to im- ply that their ideas — as basic as case management, cost accounting and integrated delivery systems — have been historically absent from healthcare leadership. This article, in contrast, embraces a lot of existing concepts. Here, as the world evolves, is the belief that one largely needs to return to the basics as a core starting point. ASC Administrator Dashboard: 11 Daily, Weekly, Monthly Metrics By Anuja Vaidya An administrator's "to-do" list when running an ambulatory surgery center is never-ending. Between ensuring high levels of patient, physician and staff satisfaction as well as keeping tabs on inventory and quality metrics, an administrator has to be, above all, a master juggler. Effective time management, orga- nization and efficiency are skills that administrators need to pick up and hone quickly. continued on page 8 continued on page 13 continued on page 9 155 Physician Leaders in the ASC Industry to Know p. 31 Healthcare Strategy 2015 — Back to the Basics: 12 Key Thoughts By Scott Becker 13th Annual Spine, Orthopedic and Pain Management-Driven ASC Conference + The Future of Spine June 11-13, 2015 Westin Michigan Avenue Hotel • Chicago, IL 90+ Surgeons Speaking & 108 Sessions Key Note Speakers: Deion Sanders, Billy Beane and Bill Walton For more information, visit or call (800) 417-2035. ASCREVIEW SPINE REVIEW

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