Obtaining adequate reimbursement is a top priority for ambulatory surgery center leaders. Here are 24 statistics on how ASC management and development companies assess managed care and reimbursement in relation to valuation, according to VMG Health's 2011 ValueDriver ASC Survey.
Overall impact of reimbursement on value:
• Low reimbursement: medium
• Contracting leverage: high
• Single payer: very high
• Out-of-network: very high
High reliance on out-of-network payers
• Very low: 0 percent
• Low: 0 percent
• Medium: 0 percent
• High: 7 percent
• Very high: 93 percent
High level of patient volume and revenue tied to a single payer
• Very low: 0 percent
• Low: 7 percent
• Medium: 20 percent
• High: 33 percent
• Very high: 40 percent
Contracting leverage with major payers in the market
• Very low: 7 percent
• Low: 7 percent
• Medium: 33 percent
• High: 47 percent
• Very high: 7 percent
Low commercial reimbursement levels
• Very low: 7 percent
• Low: 13 percent
• Medium: 40 percent
• High: 27 percent
• Very high: 13 percent
More Articles on Transactions and Valuation Issues:
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4 Recently Announced ASC Joint Venture & Partnership Agreements
Overall impact of reimbursement on value:
• Low reimbursement: medium
• Contracting leverage: high
• Single payer: very high
• Out-of-network: very high
High reliance on out-of-network payers
• Very low: 0 percent
• Low: 0 percent
• Medium: 0 percent
• High: 7 percent
• Very high: 93 percent
High level of patient volume and revenue tied to a single payer
• Very low: 0 percent
• Low: 7 percent
• Medium: 20 percent
• High: 33 percent
• Very high: 40 percent
Contracting leverage with major payers in the market
• Very low: 7 percent
• Low: 7 percent
• Medium: 33 percent
• High: 47 percent
• Very high: 7 percent
Low commercial reimbursement levels
• Very low: 7 percent
• Low: 13 percent
• Medium: 40 percent
• High: 27 percent
• Very high: 13 percent
More Articles on Transactions and Valuation Issues:
14 Hospitals & Health Systems Planning or Opening Surgery Centers
How Do Physicians Impact ASC Valuation? 20 Statistics
4 Recently Announced ASC Joint Venture & Partnership Agreements