Becker's ASC Review

May, June 2017 Issue of Becker's ASC Review

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16 1,200+ ATTENDEES FROM ACROSS THE NATION REGISTER BY SEPTEMBER 1, 2017 AND SAVE! KEYNOTES BY 24 TH ANNUAL MEETING: THE BUSINESS & OPERATIONS OF ASCS OCTOBER 26-28, 2017 SWISSOTEL | CHICAGO, ILLINOIS 190 SPEAKERS, INCLUDING 137+ SPEAKERS DIRECTLY FROM SURGERY CENTERS Register here at www.beckersasc.com/annual- ambulatory-surgery-centers-conference/ Call 800-417-2035 or email Jessica Cole at jcole@beckershealthcare.com or Scott Becker at sbecker@beckershealthcare.com The Best Business-Focused, Strategic Discussions in the ASC Industry with a Special AEU Credit Track BECKER'S ASC REVIEW Bill Walton, NBA Legend and Basketball Analyst Kirk Herbstreit, ESPN's "College GameDay" Analyst and Reporter Alexa von Tobel, Founder and CEO of Learnvest.com, Author of Financially Fearless Andrew Hayek, CEO of OptumHealth, CEO of Surgical Care Affiliates 5 Key Points on MACRA for Healthcare Leaders to Note By Mary Rechtoris T he impending implication of CMS' Medicare Access and Children's Health Insurance Program Act of 2015 has ex- ecutives scrambling to prepare their health systems. Here are five key points CMS' MACRA:: 1. MACRA is taking the Sustainable Growth Rate formula's place. Lawmakers used the SGR formula to update Medicare's physician fee schedule. 2. A key MACRA component is the Quality Payment Program, which will pay providers based on cost, quality, technology advancement and clinical improvement measures. CMS pro- posed the QPP in October 2016. 3. Within MACRA, physicians can participate in three payment options: • Merit-based Incentive Payment System • Advanced Alternative Payment Model • A MIPS-APM hybrid 4. Health Affairs published a study finding MACRA will cause be- tween a $35 billion and $106 billion drop in Medicare spending for physician services. The decrease will be between 2.3 percent and 7.1 percent of what Medicare currently pays physicians. 5. A Healthcare Informatics survey found 80 percent of physi- cians in practices with 15 physicians or fewer said they need- ed help with MACRA or weren't prepared at all. Among prac- tices with 16 to 50 physicians 72 percent said they weren't prepared for MACRA or needed help. n 20 Benchmarks on ASC Revenue per Case By Laura Dyrda A vanza Healthcare Strategies launched its "Ambula- tory Surgery Center Special Report: 2017 Benchmarks" which includes the high and low benchmarks for rev- enue per case as well as financial, operational, supply chain and utilization metrics. e organization gathered benchmarks from several sources, including AAAHC, Ambulatory Surgical Centers of America, HealthCare Appraisers, Provista, RemitData, MedPAC, Objec- tive Health, VMG Health, e Advisory Board Company, Boul- der Associate Architects and the Avanza Client Database. Here are 20 benchmarks on ASC revenue per case based on 10 key specialties: 1. Urology • High: $5,697 • Low: $1,677 2. Orthopedic • High: $5,082 • Low: $1,880 3. Otolaryngology • High: $4,886 • Low: $1,790 4. Gynecology • High: $3,783 • Low: $1,300 5. Podiatry • High: $3,687 • Low: $1,781 6. General surgery • High: $3,670 • Low: $1,050 7. Plastic surgery • High: $3,261 • Low: $1,355 8. Pain management • High: $2,169 • Low: $770 9. Gastroenterology • High: $1,590 • Low: $630 10. Ophthalmology • High: $1,475 • Low: $1,050 n

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