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Declining reimbursement rates, market saturation, a still-sluggish economy and continued uncertainty over healthcare reform have taken their toll on ambulatory surgical center profitability. Payors in several markets have issued or are considering moratoriums on adding ASCs to their panels. Others are delaying or denying payment to out-of-network facilities, while threatening to cancel contracts with in-network physicians affiliated with them. Little wonder, then, that financially underperforming ASCs are considering mergers as a way to weather the storm.
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