Here are 46 benchmarks to know on ASC payer mix from VMG Health and HealthCare Appraisers:
The following payer rate, supply costs staff raises and other expense data is based on the HealthCare Appraisers 2017 ASC Valuation Survey. The survey includes responses from 24 ASC companies representing more than 700 ASCs across the U.S.
1. Commercial payer rates
• 1 to 1.9 percent increase: 41 percent
• 2 to 2.9 percent increase: 45 percent
• 3 to 3.9 percent increase: 14 percent
2. Medical supplies and implantable device costs
• 1 to 1.9 percent increase: 32 percent
• 2 to 2.9 percent increase: 27 percent
• 3 to 3.9 percent increase: 23 percent
• 4 to 4.9 percent increase: 14 percent
• 7 to 7.9 percent increase: 5 percent
3. ASC staff raises
• 1 to 1.9 percent: 5 percent
• 2 to 2.9 percent: 59 percent
• 3 to 3.9 percent: 23 percent
• 4 to 4.9 percent: 14 percent
4. Other expenses
• Flat: 5 percent
• Less than 0.9 percent increase: 5 percent
• 1 to 1.9 percent increase: 5 percent
• 2 to 2.9 percent increase: 64 percent
• 3 to3.9 percent increase: 18 percent
• 4 to 4.9 percent increase: 5 percent
Commercial payers account for the greatest share of payer mix in the South, according to VMG Health's 2018 Multi-Specialty ASC Benchmarking Study. Here are statistics on median payer mix as a percent of collections in each U.S. region:
All facilities
5. Medicare: 17
6. Medicaid: 4
7. Commercial: 62
8. Worker's comp: 7
9. Self-pay: 3
10. Other pay: 7
Atlantic
11. Medicare: 24
12. Medicaid: 3
13. Commercial: 57
14. Worker's comp: 7
15. Self-pay: 5
16. Other pay: 8
Midwest
17. Medicare: 12
18. Medicaid: 3
19. Commercial: 64
20. Worker's comp: 10
21. Self-pay: 3
22. Other pay: 6
Mountain
23. Medicare: 14
24. Medicaid: 7
25. Commercial: 57
26. Worker's comp: 8
27. Self-pay: 4
28. Other pay: 7
Northeast
29. Medicare: 16
30. Medicaid: 4
31. Commercial: 66
32. Worker's comp: 7
33. Self-pay: 7
34. Other pay: 6
Pacific
35. Medicare: 19
36. Medicaid: 5
37. Commercial: 63
38. Worker's comp: 4
39. Self-pay: 7
40. Other pay: 5
South
41. Medicare: 16
42. Medicaid: 5
43. Commercial: 69
44. Worker's comp: 4
45. Self-pay: 2
46. Other pay: 5