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Why Do ASCs Fail? - August 2015 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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cover the $340 the center pays for each cas- sette (the disposable patient interface), plus an added fee to help defray the purchase price of the machine and maintenance costs. "When we explain to patients that we'll get to the same outcome but there's less swelling, less discomfort and less energy used in the eye, 9 times out of 10, patients will opt to have (the laser)," says Ms. Graves. "Surgeons meet with patients and say this is my pre- ferred method (and) our patients are pretty much on board with what their surgeons rec- ommend. They're generally willing to pay a lit- tle more out of pocket unless they're signifi- cantly indigent." "Some of our commercial plans are begin- ning to pay for the laser," adds Ms. Christian. But some facilities say both the upfront and the ongoing expenses related to femto are too daunting. "It's too costly and we can't get reim- bursed," says Denise Carpenter, BSN, director of nursing at the Surgery Center of Northern California in Redding. "We would be unable to cover the cost of the laser based on the number of cases we do," says another facility leader. Highlighting the need for strong vendor sup- port, the clinical coordinator of a southern surgery center says her facility tried femto for a year but gave up: "Patients balked at the expense and there were technical issues with

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