Issue link: https://beckershealthcare.uberflip.com/i/493267
51 Executive Briefing: Optimizing Your ASC Investment Constitution Surgery Centers Payer Agreements: Do They Truly Reflect the Marketplace? Be aware of the overall managed care marketplace and the nu- ances of managed care agreements in order to promote financial success for the facility. You need experienced negotiators repre- senting the ASC. All too often facilities eager for volume accept contract terms that are not at market rates or that contain onerous provisions. Your agreements also need to: • Carefully address the term and termination provisions of managed care agreements and avoid being locked into un- tenable arrangements; • Assess proposed rates in terms of the center's own case mix and volumes; and • Consider the treatment of implants, devices or other reim- bursable services and supplies. A good contracting team, armed with data as to your operations and a market familiarity, can materially benefit he facility's bottom line without any change in volume. IT/Business Intelligence: The Better Your Data, the Better Your Decisions. Integrally related to your overall financial management and contracting activities is the business intelligence infrastructure in place for the ASC. This is a central consideration for success in the healthcare marketplace of the future. You need a robust IT support system that can capture and analyze data and re- port the same in an intelligible fashion to physician owners. Your management team may be able to again leverage their resources and broader market activity so that you can benefit from IT systems that might be out of reach for an individual fa- cility. Without good analytic support, however, you really won't be able to have the detailed information at your disposal nec- essary to mange your operations and negotiate contract terms with third parties to promote financial success and long term viability for your facility. Constitution Surgery Centers: Expertise, from Clinical Issues to Contracts Constitution has decades of experience in the development and operations of successful surgery centers, including: • Physician-owned single specialty facilities • Physician-hospital joint venture ASCs • Major physician-hospital alignment initiatives embracing both ambulatory and inpatient surgery and clinical co-man- agement arrangements This significant body of work has enabled us to build a broad and deep repository of expertise that we can bring to bear for each facility with which we are affiliated. We pride ourselves in work- ing to understand the nuances of each market and facility and crafting strategies for long-term success. In today's challenging marketplace, leveraging our experience and resources can have a dramatic impact on your facility. Our leadership includes: • Surgeons • Experienced health care legal counsel • Sophisticated financial advisors including CPAs and private equity veterans We have unrivaled depth in health care regulatory, operational and finance matters. We use this to identify the key issues for facilities and then to craft sophisticated strategies for success. A key tool we utilize in developing and implementing these strate- gies is our business intelligence system and IT resources. We can model opportunities, assess the financial implications of transac- tions and contractual commitments and mange expenses with ex- traordinary accuracy. Our expertise allows us to use this data for the benefit of our partners. We would welcome the opportunity to explore how we might em- ploy our resources to enhance your center's success. n "Beware of the overall managed care marketplace and the nuances of man- aged care agreements in order to pro- mote financial success of the facility. You need experienced negotiators representing the ASC." —John Newman, Constitution Surgery Centers Constitution is a leading operator of outpatient surgery centers with a complete array of support resources to serve the ambulatory sur- gery marketplace. Constitution has been at the forefront in the development, management and operation of surgical facilities for almost 20 years. Our facilities have provided patients with the high quality, accessible surgical care while delivering strong financial returns to our physician and hospital partners. Constitution's resources include facility development and feasibility analysis, facility manage- ment, billing and financial services, and advisory services. Constitution has a uniquely robust roster of seasoned senior management executives who can address the totality of key issues for success in the development and operation of surgical facilities, including legal, financial, contracting, compliance and risk management, billing and clinical and quality oversight matters.