2021 Annual Meeting Startup & Practice Management Access Pass-Contracting 101: How to Maximize Reimbursement in the ASC Setting

Contracting 101: How to Maximize Reimbursement in the ASC Setting

Video Transcription

Video Summary

The speaker discusses eight critical factors influencing reimbursements in Ambulatory Surgery Centers (ASCs). Key points include the importance of 100% orthopedic surgeon ownership, group size and market share advantages, and the necessity of case mix optimization, particularly for Medicare-heavy practices. Reducing implant costs and controlling expenses are crucial due to slim margins on procedures like total joint arthroplasty. Physician and staff engagement drives volume and efficiency, while positioning ASCs for bundled payments or direct contracting with employers offers growth potential. The future lies in employer direct contracting for musculoskeletal care, driven by cost reduction demands, with orthopedic surgeons well-placed to lead this shift.

Asset Caption

Dr. Jack Bert

Keywords

Ambulatory Surgery Centers

orthopedic surgeon ownership

case mix optimization

implant cost reduction

employer direct contracting