Current Issue of Becker's ASC Review

January/February Issue of Becker's ASC Review

ON THE COVER 

CMS will reimburse ASCs for 6 coronary intervention procedures in 2020 — 5 things to know
CMS will pay for certain angioplasty and stenting procedures in ASCs beginning Jan. 1, under its 2020 Medicare Hospital Outpatient Prospective Payment System and ASC Payment System Final Rule. Five things to know.

How consolidation will affect the ASC industry: Dr. Scott Fowler weighs in
Scott Fowler, MD, is the president and CEO of Holston Medical Group, which recently opened the Renaissance Surgery Center in Bristol, Tenn. Here, Dr. Fowler shares his thoughts on consolidation in the industry, and how he hopes the Renaissance Surgery Center will grow in the future.

ASC valuation + common misconceptions about 'fair market value': 2 key insights
VMG Health's Taryn Nasr, director, and Savanna Dinkel, senior analyst, spoke to Becker's ASC Review about the ASC valuation process and common misconceptions.

Stryker bets on extremities, to buy Wright Medical for $5.4B: 5 key notes
Stryker signed a definitive agreement to acquire Wright Medical Group for $5.4 billion. Five things to know.

Why Arizona Digestive Health joined the GI Alliance
Dallas-based GI Alliance, led by President Jim Weber, MD, has aggressively expanded since first closing its deal with Waud Capital Partners, recently acquiring Phoenix-based Arizona Digestive Health.

29 best-managed healthcare companies
Twenty-nine healthcare companies made the Management Top 250, a ranking that measures corporate effectiveness developed by the Drucker Institute.

20 key trends and concepts for ASCs heading into 2020
1. From the last 10 years up to the last two years or so there’s been almost no growth in the total number of Medicare-certified surgery centers. This is largely because a lot of independent physicians already owned a surgery center or because physicians became employed by health systems and thus weren't able to invest in a surgery center.

Jury awards $1.6M to Iowa surgery center in anti-competition case
Pierce Street Same Day Surgery was awarded $1.6 million in damages after a jury ruled that its CEO conspired with a competing physician group to develop a new surgery center, the Sioux City Journal reports.
What you should know.

3 changes in Medicare's 2020 final rule affecting GI practices
The American Society for Gastrointestinal Endoscopy outlined how the CMS final rule for 2020 will affect gastroenterologists. Three details.

ASC MANAGEMENT

'Significant' ASC staffing challenges in 2019: 8 insights
Staffing is a "significant challenge" for many ASC leaders, one-third of whom ranked it as their top concern, according to OR Manager's 2019 Salary/Career Survey. OR Manager collected data from 196 ASC leaders from March 28 to May 31. Respondents were either OR Manager subscribers or part of an external list.

New York eye doctor arrested for $8M+ in alleged Medicare fraud — 5 insights
Ameet Goyal, MD, was arrested Nov. 22, for his alleged role in defrauding the federal government of more than $8 million by falsely billing for procedures he never performed, according to the Department of Justice.

DOJ sues Orlando urologist, ASC over alleged $3M kickbacks related to lithotripsy: 4 details
The Department of Justice filed a lawsuit against an Orlando-based urologist and the outpatient surgery center where he performed procedures over alleged anti-kickback violations, according to the Orlando Sentinel.

How compensation has changed for employed vs. independent physicians
Physician networking site Doximity released its 2019 physician compensation report comparing average salary differences among specialties, as well as how salaries have changed at different practice settings.

New Jersey surgery center owner to pay $863K in alleged fraud case — 5 insights
A New Jersey man will fulfill his end of a settlement and pay $718,000 to New Jersey and $145,000 in attorney's fees after he made several legal protests, Law360 reports.

THOUGHT LEADERSHIP

Former CVS exec: Retailers like Walmart won't compete with ASCs in the near future
Retailers are leveraging their branding and scale to provide quality, cost-effective and convenient healthcare services that foster growth as foot traffic declines, according to Eric Morgera, former senior manager of corporate strategy and digital innovation at CVS Health, and current co-founder and COO at Bouu, a digital retail outlet company.

These specialties are still great for ASCs
There are a number of specialties ASC leaders are optimistic about moving forward, according to panelists who attended the Becker's ASC 26th annual meeting in Chicago.

Where the first wave is going — 4 experts shed light on ophthalmology investment
With more than two dozen different private equity-backed platforms, ophthalmology is in the midst of an investment boom that shows no signs of stopping, according to Provident.

How consolidation will affect the ASC industry: Dr. Scott Fowler weighs in
Scott Fowler, MD, is the president and CEO of Holston Medical Group, which recently opened the Renaissance Surgery Center in Bristol, Tenn. Here, Dr. Fowler shares his thoughts on consolidation in the industry, and how he hopes the Renaissance Surgery Center will grow in the future.

20 key trends and concepts for ASCs heading into 2020
1. From the last 10 years up to the last two years or so there’s been almost no growth in the total number of Medicare-certified surgery centers. This is largely because a lot of independent physicians already owned a surgery center or because physicians became employed by health systems and thus weren't able to invest in a surgery center.

JOINT VENTURES

Competition between ASCs, physician practices could ramp up: 2 reasons why
ASCs primarily compete with hospitals, but they're facing another layer of competition as more investors enter the space, according to Health Capital Consultants.

AmSurg ASC plans partial ownership transfer valued at nearly $6.2M
Springfield, Mass.-based Pioneer Valley Surgicenter, which is currently owned by AmSurg and individual physicians, is planning a partial transfer of ownership.

OSU Wexner Medical Center eyes $43M outpatient center
The Ohio State University's Wexner Medical Center in Columbus is gearing up to buy an outpatient medical building for $43 million, according to Columbus Business First.

Real estate firm pays $56.1M for Missouri medical office building, orthopedic practice — 3 insights
MB Real Estate Advisors acquired a medical office building and orthopedic center, spanning 184,181 square feet, for $56.1 million, Commercial Property Executive reports. What you should know.

Regent, UHS partner to develop ASCs: 4 key notes
Regent Surgical Health inked a partnership with Universal Health Services, a 354-hospital chain with facilities across the U.S., to build and operate ASCs. Four things to know.

ORTHOPEDICS

How Dr. Brian Gantwerker battled with insurance companies to build his spine practice
Brian Gantwerker, MD, is a neurosurgeon specializing in the treatment of brain tumors, as well as degenerative diseases and injuries of the spinal cord.

NueHealth, Rothman Orthopaedics team up on $15M ASC with plans to add outpatient joints
The Physician Care Surgery Center in Royersford (Pa.) is scheduled to open late this year or early 2020, according to the Philadelphia Business Journal.

Orthopedic investments in Q3 + how ASCs can benefit from private equity attention
Two new private equity platforms were established in the orthopedic sector in the third quarter of 2019, according to Provident Healthcare Partners' "Q3-2019 Physician Services Update."

Judge declines to bar former NuVasive employee from taking clients to Alphatec Spine
A Florida judge denied NuVasive's request to bar a former spine sales representative from soliciting customers on behalf of his new employer, Alphatec Spine, Bloomberg Law reports.

Tenet agrees to pay $66M settlement in orthopedic surgical facility kickback suit
Tenet plans to pay around $66 million to settle a lawsuit alleging the company violated False Claims, Anti-kickback Statute and Stark Law related to services performed at one of its hospitals, according to a recent SEC filing.

GASTROENTEROLOGY

The rise of Gastro Health — A timeline
Miami-based Gastro Health was the first gastroenterology practice to take on a private equity partner when it struck a deal with Audax Private Equity in 2016, and as the fourth year of their affiliation approaches, Becker's ASC Review wanted to reflect on their transaction activity to date.

3 changes in Medicare's 2020 final rule affecting GI practices
The American Society for Gastrointestinal Endoscopy outlined how the CMS final rule for 2020 will affect gastroenterologists. Three details.

GI Alliance strikes again, acquires Indianapolis Gastroenterology and Hepatology
Dallas-based GI Alliance acquired Indianapolis Gastroenterology and Hepatology, its third acquisition in three weeks. What you should know.

Gastro Health continues nationwide expansion, acquires Gastroenterology Associates of Northern Virginia
Miami-based Gastro Health acquired Fairfax-based Gastroenterology Associates of Northern Virginia. What you should know.

(Almost) 1 year later: Revisiting the Atlanta Gastroenterology Associates & Frazier Healthcare Partners deal
Atlanta Gastroenterology Associates took on a private equity partner in Frazier Healthcare Partners on Dec. 17, 2018, forming gastroenterology management company United Digestive in the process.

HEALTHCARE NEWS

29 best-managed healthcare companies
Twenty-nine healthcare companies made the Management Top 250, a ranking that measures corporate effectiveness developed by the Drucker Institute.

10 specialties with the most lawsuits
Surgeons, both general and specialized, are among physician specialists who are most likely to face malpractice lawsuits, according to an analysis by Medscape.

Texas health system closes hospital, lays off 972
Nix Medical Center, a 208-bed hospital in San Antonio has closed, and its medical equipment will be sold at auction. Nix Medical Center is part of Nix Health, which is owned by Los Angeles-based Prospect Medical Holdings. In September, Prospect Medical Holdings said it planned to close the hospital because community demand for acute care at Nix Medical Center has declined over the past year.

Seattle Children's knew of mold issues last year, emails reveal
Seattle Children's Hospital knew about the Aspergillus mold causing patient infections for a year and a half, according to internal emails between hospital leaders and Seattle/King County (Wash.) Public Health officials cited by KIRO 7.

New York hospital closes campus
Eastern Niagara Health System has made several changes in recent months to improve its financial position and ensure long-term viability. In August, ENHS announced plans to close its campus in Newfane, N.Y. The system scaled back services at the hospital campus, previously known as Newfane Inter-Community Memorial Hospital, before shutting it down, according to Buffalo Business First. The Newfane campus closed Nov. 29, according to a Worker Adjustment Retraining Act Notification notice.

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