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Ambulatory Care
 

ASC regulation strategy could backfire: sources

February 08, 2010
Hospitals have been seeking more regulation and public reporting requirements from free-standing ambulatory surgery centers, often owned and operated by physicians, but ASC backers say hospitals should be careful about what they wish for. Financial-, safety- and quality-reporting requirements could...
... FULL STORY

Grant helps wounded city build model primary-care network

January 25, 2010
Four years ago, an integrated primary-care system that provides access to high-quality care to New Orleans residents in their own neighborhoods was nearly unthinkable. Today, as a new report from the not-for-profit Commonwealth Fund shows, not only is that system a reality, but also it might serve...
... FULL STORY

Major companies increasing their healthcare presence

January 11, 2010
Two very different corporations—one that hawks personal consumer products, and another that sells information technology—recently expanded their small but potentially huge footprints in the healthcare provider arena. And the reason why, experts say, is that people still believe there is...
... FULL STORY

'Street medicine' docs meet to strategize treatment for indigent

By Isabelle T. Walker
December 14, 2009
More than 100 physicians and other health professionals gathered in Atlanta last month to refine strategies for treating the most vulnerable of homeless populations: those who live unsheltered in the nooks and crannies of the world's urban landscapes.
... FULL STORY

MinuteClinic struggles in Mass., still not welcome in Boston

By Andis Robeznieks
August 10, 2009
The most tangible outcomes of a volatile three-year medical-political struggle in Massachusetts appear to be that you can now get your rash examined in a CVS pharmacy, but you can't buy cigarettes while you're there—at least not at a Boston CVS.
... FULL STORY

Retail clinics caring more for insured: study

June 08, 2009
Retail clinics are augmenting care to the insured and affluent rather than providing a primary source of care to low-income uninsured, concluded a study released last month.
... FULL STORY

Thoughts for the medical homemakers

May 26, 2009
The term “medical home” has become a catchphrase, tossed around by lawmakers, insurers and health policy experts. Meanwhile, countless medical-home demonstration projects are being launched by public and private payers, employers, clinical and academic centers and consumer advocacy groups across...
... FULL STORY

N.J. changes tune on self-referrals

April 13, 2009
Life has changed for physicians who own ambulatory surgery centers in New Jersey. And for physicians who plan to open their own ASC, life probably has become much more hectic.
... FULL STORY

On- and near-site clinic slowdown could hurt access: AAFP president

By Rebecca Vesely
January 12, 2009
Employment-based health clinics are the latest casualty of the ongoing recession, as corporations push off plans to open on- and near-site clinics and some existing clinics are being considered for the chopping block, industry experts say.
... FULL STORY

Doctors battle hospitals over ASC ownership restrictions

By Gregg Blesch
December 08, 2008
A legal opinion plunged New Jersey’s ASCs into limbo last year and legislators committed themselves to fix a consequential but narrow issue. All of the interested parties came to the table—hospitals, insurers, physicians—and the table was soon cluttered with baggage.
... FULL STORY

R.I., N.D. leaders of the (medical-home) pack

December 08, 2008
As the smallest in size and fourth-least densely populated states, respectively, Rhode Island and North Dakota don’t often find themselves leading the union. But both are in front of the pack when it comes to promoting the patient-centered medical-home concept.
... FULL STORY

Feeling homey in Selmer, Tennessee

By Andis Robeznieks
November 03, 2008
Common wisdom would say that significant innovations in healthcare delivery typically get their start in big cities or at major academic medical centers. So, Selmer, Tenn., with a population of 4,600, might be an unlikely place to find a medical practice at the leading edge of an integrated-care...
... FULL STORY

Health centers let doctors help low-income patients at lower risk

October 20, 2008
Community health centers that serve low-income and uninsured patients have always been a landing spot for mission-driven physicians. Now they have also become a haven for some who are feeling squeezed by malpractice insurance costs and other administrative burdens of private practice.
... FULL STORY

Privately insured steered to doc-run ASCs: study

April 07, 2008
Advocates of physician-owned hospitals may have scored a win with a settlement in Kansas, but a recent study about referral patterns to ASCs continues—and broadens—the debate over doctor investment.
... FULL STORY

ASCs face less federal cash, more inspections

By Andis Robeznieks
March 10, 2008
Less federal money and more-frequent visits from federal inspectors—that’s what ambulatory surgery centers have to look forward to if President Bush’s fiscal 2009 budget proposal becomes reality. In Colorado, the federal plan would add insult to injury as the state’s annual inspection fees were...
... FULL STORY

Georgia ASC spat over CON unlikely to spread

February 19, 2008
While it seems just about every medical association in Georgia is taking sides, participants agree that the latest fight between hospitals and physicians won’t spill across state lines.
... FULL STORY

Judge’s ASC, self-referral ruling stirs up confusion

January 07, 2008
A ruling in an N.J. insurance fraud case has caused commotion in the state’s medical community because a judge’s decision included an opinion on how doc-owners of an ASC were violating the state’s self-referral law.
... FULL STORY

General surgeons in Ga. receive nod to build ASCs

December 17, 2007
A lawsuit along with legislative action are expected to rain down on the Georgia Board of Community Health’s unanimous 6-0 decision to approve a certificate-of-need rule that recognizes general surgeons as single specialists.
... FULL STORY

ASC merger expected to shut down AAASC

November 05, 2007
The merger of FASA and the American Association of Ambulatory Surgery Centers will probably lead to the AAASC shutting down operations and handing its assets to FASA.
... FULL STORY

ASC standards for abortion clinics could affect access

By Andis Robeznieks
October 15, 2007
A new Missouri state law that may directly affect only a handful of medical facilities could potentially have a ripple effect and indirectly influence access to abortions all over the country.
... FULL STORY

Ambulatory surgical center groups to merge in 2008

October 05, 2007
The American Association of Ambulatory Surgery Centers and FASA agreed to merge, the groups announced. The two largest ASC trade groups will become one organization on Jan. 1, 2008—the same date a new payment system for ASCs will kick in under Medicare, setting a new compensation rate of 65% of...
... FULL STORY

Proposed Medicare rule leaves ASC execs skeptical

September 17, 2007
Some executives in the ambulatory surgery center industry say they are skeptical that new proposed conditions for Medicare coverage announced last month will do much to improve patient care, though hospital industry executives support the CMS’ changes. Regardless, ASC executives say they are...
... FULL STORY

Legal opinion cautions against ASC deal

By Gregg Blesch
August 20, 2007
HHS’ inspector general’s office recently gave a yellow light to a proposed deal in which a not-for-profit hospital wanted to buy a piece of an ambulatory surgery center from some of the physicians who started it. The advisory opinion, posted on June 19, left at least one lawyer who often works with...
... FULL STORY

Mergers, acquisitions picking up pace

By Jessica Zigmond
April 16, 2007
The $1.8 billion agreement by United Surgical Partners International to sell itself to a private equity firm adds to an already active mergers and acquisitions market, particularly in outpatient care where most physicians make their living.
... FULL STORY

Campaign targets drug inducements

April 02, 2007
A consumer-advocacy group has launched a national campaign to try to reduce conflicts of interest between doctors and the pharmaceutical companies that ply their physician-customers with everything from boxfuls of drug samples to free lunches and generous lecture fees.
... FULL STORY

Doc groups outline principles behind ‘medical home’

By Michael Romano
April 02, 2007
Four doctors’ groups that provide the majority of primary care to patients in the U.S. have released a set of principles to guide the establishment of a so-called "patient-centered medical home." The model of a medical home, outlined by primary-care groups such as the American...
... FULL STORY

Homegrown EHR certified

By Melanie Evans
March 19, 2007
The Marshfield (Wis.) Clinic scored the first certification for an ambulatory electronic health record not created by a commercial vendor, and officials say it won't be long before they put it on the market.
... FULL STORY

Retail clinics vow to follow care standards

March 05, 2007
Three companies that operate quick-stop health clinics at retail stores agreed to support a set of standards established by the American Academy of Family Physicians, the Leawood, Kansas-based doctors’ group announced.
... FULL STORY

United Surgical agrees to takeover

February 05, 2007
United Surgical Partners International, Addison, Texas, which operates ambulatory surgery centers -- generally in partnership with not-for-profit hospitals -- agreed to a takeover offer worth about $1.8 billion, including assumed debt.
... FULL STORY

Changes ahead for ASCs

By Craig Jeffries
January 22, 2007
On Nov. 1, the CMS released the final rule establishing the list of procedures and payment rates for Medicare ambulatory surgery center services in 2007.
... FULL STORY
 
 
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