AMBULATORY SURGERY CENTERS WHAT IS THE IMPACT TO THE MEDICAL DEVICE COMMUNITY?
Ms. Salimbene has spent her career in the Medical Device Segment. Her comprehensive expertise in Sales, Management, and Marketing ranges from start-ups through Fortune 500 companies. Her collaborative leadership style and genuine passion for success have gained her a leadership award from Johnson & Johnson, and top sales and marketing awards from other companies where she has worked. For more information, please visit her LinkedIn Profile.
The first ambulatory surgery center (ASC) opened in 1970. As they have grown to approximately 5,500 to 5,600 Medicare-certified surgery centers in the country, approximately 1,400 to 1,700 have a hospital partner. As we know, the hospital partner may help with managed care contracting, physician recruitment and the overall maintenance of a positive environment for the surgery center in the community.
The question: How is this all impacting the medical device community?
The Transformation continues…
Spine and total joints are in a growth mode within the ASC arena. Other specialties that entered the space earlier are also expanding, including general orthopedics, urology, ophthalmology gastroenterology, ENT and general surgery. Cardiovascular may parallel total joints. “Profitability” is the name of the game.
Bundled payments are common and will continue. For those ASC’s now looking to add specialties, it may require purchasing new equipment, expanding facilities and even relocating if more space is required. This can be a positive adjustment for us all moving forward.
This kind of structure will, however, put the physician at risk financially, placing them in a position to consider the payer’s perspective while providing care. We are already seeing patients playing more of a role in their own care. I just experienced this first hand with my parents. Patients will have the power they have always wanted.
Dr. Hrywnak, CEO of United Healthcare, described a pilot program at Danville, Pa.-based Geisinger Health System. “This program queried patients through an app on their mobile devices anytime they visited a Geisinger hospital or surgical group. At the end of the survey, if a patient had indicated they did not receive top-quality care it asked them if they wanted a refund.” Dr. Hrywnak feels this program is a “preview of coming attractions,” particularly when MACRA (Medicare Access and CHIP Reauthorization Act) which will take effect in 2017 for payments starting in 2019 is in full force because some elements of the law incorporate patient satisfaction surveys.
Think about it; this could very well determine how physicians will be paid in the future. We could eventually feel this impact as Medical Device companies.
How will hospitals be required to adapt to all of the changes?
I will continue this topic in my next blog. Stay tuned for Feb 28.