Outpatient Surgery Magazine

Obamacare, You're Fired - December 2016 - 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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Page 124 of 132

Here are the factors an anesthesia group weighs when considering a contract's worth at your facility. Your payer mix. You might assume all lap choles pay the same. They don't. Nor can you assume that complex procedures involving very sick patients always pay more. Medicare pays much less than commercial insurance. A typical 10-unit case for a private payer might pay $500 ($50 per unit), but Medicare would likely pay only $220 (about $22 per unit). And the landscape can change. If, for example, a large employer closes, many patients in that area may shift from commercial insurance to Medicaid (or no insurance). Your case volume. Naturally, the more cases we do, the more revenue we generate (assuming patients are covered). If a case cancels and we're stuck just sitting around, that means no revenue. If a surgeon cancels a day's cases, the day becomes a total loss. Or if a high-volume surgeon slows down, moves away or retires, revenue will likely decrease. Anesthesia providers who are salaried or hourly employees don't have to worry; they get paid regardless. But the anes- thesia contract-holder doesn't have that luxury. Case delays and speed of turnover. We've all heard surgeons complain about slow turnover and delays. Anesthesia contract- holders have the same concerns. We should help facilitate turnover, and never cause unnecessary delays. Non-revenue generating services. Some facilities require serv- ices such as on-call coverage for trauma or OB in hospitals, guar- anteed room coverage in ASCs (even if no cases are scheduled), or on-site providers who don't actively participate in cases (such as supervising anesthesiologists or floaters to help with turnover). Someone has to pay for these. If they're not covered by the facility, the money comes right out of anesthesia revenue. 1 2 3 4 D E C E M B E R 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 1 2 5

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