Naya Kehayes, managing principal and CEO of Eveia Health Consulting and Management, says surgical hospitals often have a difficult time negotiating new managed care rates with payors because they are often viewed as an offshoot of an ambulatory surgery center instead of an acute-care hospital.
“If surgical hospitals are reimbursed based upon an ASC payment system logic, they typically will not be able to capture revenue necessary for covering the cost of services that they are providing in a surgical hospital setting,” Ms. Kehayes says. “This is very frustrating and difficult when a payor insists on using an ASC-based structured contract to compensate for hospital-based services that are provided by a surgical hospital because it creates inadequacies in reimbursement for services provided that are often not covered or payable under an ASC payment system.”
More Articles on Surgical Hospitals:
4 Managed Care Trends With Health Systems, Surgical Hospitals and ASCs
CFO Sandy Badinger: Experienced Hospital Leader in Louisiana
Los Robles Hospital, Thousand Oaks Surgical Hospital Agree to Partnership
