The 2017 Ambulatory Surgery Center Market Report evaluates the emerging market and its impact on existing sites of care.
- In 2016, revenues for ambulatory surgery center services reached $26 billion
- Of the 6,150 ambulatory surgery centers, 57% are independent/physician-owned, 21% are hospital owned/nonprofit, and 22% are corporate/for-profit.
- Ambulatory surgery centers are expected to treat 60% of outpatient surgical cases by 2020.
Revenues for ambulatory surgery center (ASC) services were $26 billion in 2016. Of the 6,150 facilities nationwide, 57% are independent/physician owned, 22% are corporate/ for-profit, and 21% are hospital-owned/nonprofit. Corporate ASC companies are gaining traction in the market. From 2010 to 2015, the number of facilities owned by the top five companies increased 43%.
Ambulatory surgery centers have much lower procedure costs compared to their largest competitors, hospital outpatient departments. For patients receiving outpatient surgical care, this could translate into savings of up to $5 billion annually. Some estimates place annual savings for Medicare and commercial payers at $18.7 billion and $12.4 billion respectively.
Quality Reporting Required For Full Reimbursement
In 2017, ASCs that fail to report on quality metrics could face Medicare reimbursement cuts of up to 2% of their overall Medicare revenues. The number of measures included in the reporting is expected to increase from 10 to 11 in 2018. However, for a number of measures, the incident rate (number of occurrences for each measure) has remained unchanged since the program was implemented. Rates of occurrence have been consistently low, at less than
1 per 1000 cases.
Certificate Of Need Laws Slow ASC Growth
To protect vulnerable hospitals from encroachment by ASCs, certificate of need laws were put into place to slow ASC expansion. Research shows that over a period of 27 years, these laws have been effective at restricting ASC growth.
1. 57% of ASCs Are Physician-Owned
2. Commercial Insurance Makes up More than Half of ASC Payer Mix
3. Revenue Grows in Publicly-Owned ASCs
4. Publicly-Traded ASC Profits Increase 2014-2016
5. ASCs Increase Spending on Salaries, Supplies
6. ASCs Offer Nurses Better Hours, Salaries
7. ASCs Projected to Treat 60% of Outpatient Surgeries by 2020
8. ASCs To Treat More Surgeries of All Types by 2020
9. Fewer Procedures Restricted to Inpatient Only
10. Procedure Volume Critical to ASC Profitability
11. One Quarter of ASC Cases Are Gastroenterology-Related
12. Orthopedics, ENT, Urology Most Profitable Specialties in ASCs
13. Cataract Surgery is the Most Commonly Performed Medicare Procedure in ASCs
14. Quality Reporting Program Could Cut ASC Medicare Reimbursement Up to 2%
15. ASC Quality Incident Rate Less Than 1 in 1000 for Key Measures
16. Certificate-Of-Need Regulations Slow ASC Growth
17. ASC Management Companies, Hospitals/Health Systems Largest ASC Acquirers in 2016
18. Patients, Payers Cut Costs Through Use of ASCs