News & Analysis as of

Ambulatory Surgery Centers

McDermott+

Establishing OPPS payment for IPO procedures: Challenges and methodological considerations

McDermott+ on

The Centers for Medicare & Medicaid Services (CMS) recently finalized a policy to eliminate the inpatient only (IPO) list over a three-year period beginning in 2026, creating an immediate need to assign ambulatory payment...more

Tucker Arensberg, P.C.

CMS Launches ASC Prior Authorization Demo for Certain “High-Risk” Procedures: What ASCs and Surgeons Need to Know

The Centers for Medicare & Medicaid Services (CMS) has been using prior authorization for selected Hospital Outpatient Department (OPD) services for several years as part of its broader effort to curb improper payments and...more

Ankura

What to Build — and Where — in 2026: Healthcare Real Estate Strategy Forecast

Ankura on

Ankura’s Healthcare Real Estate Solutions team tracks critical economic, regulatory, and market trends to guide strategic investment decisions that will define capital allocation, service line priorities, and clinical...more

Health Care Compliance Association (HCCA)

[Event] Healthcare Basic Compliance Academy - March 23rd - 26th, Nashville, TN

Grounded in the OIG’s General Compliance Program Guidance and DOJ’s Evaluation of Corporate Compliance Programs, our immersive, three-and-a-half-day, classroom-style Healthcare Basic Compliance Academy equips compliance...more

Bass, Berry & Sims PLC

Healthcare Trends & Transactions: Year in Review

Bass, Berry & Sims PLC on

At the end of 2024, we predicted that the healthcare mergers and acquisitions (M&A) market would pick up steam in 2025 given the combination of decreasing interest rates, a potential shift in the regulatory landscape with the...more

Ankura

CMS Releases 2026 OPPS and ASC Final Rule: Key Reimbursement Updates

Ankura on

On Nov. 21, the Centers for Medicare and Medicaid Services (CMS) released the 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Final Rule (Final Rule). The Final Rule outlines...more

Bradley Arant Boult Cummings LLP

Alabama CON Report - December 2025

Proposes to develop a freestanding, non-hospital-based, multi-specialty ambulatory surgery center (ASC) with an associated Medicare-certified independent diagnostic testing facility at the Riverwalk Health and Wellness...more

Sheppard Mullin Richter & Hampton LLP

CMS Finalizes Medicare Payment Policies for Hospital Outpatient and Ambulatory Surgery Center Services

The Centers for Medicare & Medicaid Services (“CMS”) final rule for Medicare payment for services provided in hospital outpatient departments (paid under the Outpatient Prospective Payment System or “OPPS”) and ambulatory...more

Benesch

CMS Finalizes Mandatory Ambulatory Specialty Model for Heart Failure and Low Back Pain Specialists

Benesch on

On October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) finalized the Ambulatory Specialty Model (ASM) in the CY 2026 Medicare Physician Fee Schedule (PFS) final rule. ...more

King & Spalding

CMS Issues CY 2026 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final...

King & Spalding on

On November 21, 2025, CMS made available the Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system final rule for calendar year 2026 (the Final Rule). In the...more

Robinson+Cole Health Law Diagnosis

CMS Adds New Requirements to Hospital Price Transparency Reporting

On November 21, 2025, the Centers for Medicare & Medicaid Services (CMS) published the CY 2026 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Final Rule (the Rule), which includes several...more

McDermott+

CMS releases CY 2026 Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System final rule

McDermott+ on

On November 21, 2025, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final...more

McDermott+

The wait is over: The CY 2026 OPPS final rule is finally here

McDermott+ on

Last Friday (November 21), the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2026 Outpatient Prospective Payment System (OPPS) final rule, the major Medicare payment rule impacting hospital...more

Holland & Knight LLP

CMS Releases CY 2026 Hospital OPPS and Ambulatory Surgical Center Final Rule

Holland & Knight LLP on

On Nov. 21, 2025, the Centers for Medicare & Medicaid Services (CMS or Agency) released the calendar year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System...more

McDermott Will & Schulte

Inside HPE Europe 2025 | European healthcare investment in 2026: Outpatient services, optimisation, and optimism

McDermott Will & Schulte on

As macro trends such as population growth, ageing demographics, and co-morbidities place increasing pressure on healthcare systems, investors are once again seeking out compelling opportunities in the healthcare services...more

BakerHostetler

No Opting-Out: Navigating the Uncharted Waters of Medicare’s Ambulatory Specialty Model (ASM)

BakerHostetler on

On Oct. 31, the Centers for Medicare & Medicaid Services (CMS) released the 2026 Medicare Physician Fee Schedule Final Rule, wherein it established the Ambulatory Specialty Model (ASM) – a mandatory alternative payment model...more

Bradley Arant Boult Cummings LLP

CMS Tests Prior Authorization for Ambulatory Surgery Centers: Preparing for the 2025 Demonstration

CMS is launching a five-year Prior Authorization Demonstration for certain ambulatory surgical center (ASC) services beginning December 15, 2025, in 10 states, including Georgia, Florida, Tennessee, and Texas....more

Arnall Golden Gregory LLP

Healthcare M&A Outlook: Q4 2025 and The Road Ahead to 2026

As 2025 draws to a close, the healthcare mergers and acquisitions (“M&A”) market remains active but increasingly selective. After two years of recalibration following the post-pandemic boom, dealmakers are navigating a...more

Holland & Knight LLP

CMS Releases CY 2026 Medicare Physician Fee Schedule Final Rule

Holland & Knight LLP on

The Centers for Medicare & Medicaid Services (CMS) on Oct. 31, 2025, released the calendar year (CY) 2026 Medicare Physician Fee Schedule (PFS) Final Rule, which includes policies related to Medicare physician payment and the...more

McDermott Will & Schulte

Healthcare Regulatory Check-Up Newsletter | September 2025 Recap

McDermott Will & Schulte on

This issue of McDermott Will & Schulte’s Healthcare Regulatory Check-Up highlights regulatory activity for September 2025, including an update on the Centers for Medicare & Medicaid Services (CMS) Rural Health Transformation...more

Bass, Berry & Sims PLC

Healthcare Trends & Transactions Q3 2025

Bass, Berry & Sims PLC on

Though the long-term impact is yet to be seen, those wary of the changes to Medicaid eligibility and the Affordable Care Act under the One Big Beautiful Bill Act, signed into law on July 4, are surely relieved to see there...more

Bradley Arant Boult Cummings LLP

Alabama CON Report - October 2025

Project Modification: AL2022-034, Springhill Center for Advanced Medicine, LLC, Mobile County, AL: Proposes to develop a new ambulatory surgery center (ASC) with four (4) operating rooms and four (4) procedure rooms in Mobile...more

McDermott+

The paradox: Declining Medicare payment rates versus higher Medicare spending

McDermott+ on

McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. October 9, 2025 – Several recent Regs & Eggs blog posts have focused on comments that stakeholders submitted on two major...more

Maynard Nexsen

Taking the Pulse, A Health Care and Life Sciences Video Podcast | Episode 253: The Rise of Ambulatory Surgery Centers with Mark...

Maynard Nexsen on

This week, hosts Heather and Matthew are joined by Mark Wainner, President of the Ambulatory Surgery Center Association (ASCA), to explore how ambulatory surgery centers (ASCs) are transforming the health care landscape. With...more

Holland & Knight LLP

A Review of Recent State and Federal Changes to the Ambulatory Surgical Center Regulatory Landscape

Holland & Knight LLP on

Over the past 18 months, multiple states – including New Jersey, Massachusetts, North Carolina, Georgia, Iowa and Tennessee – have enacted or advanced significant legislative and regulatory changes affecting ambulatory...more

397 Results
 / 
View per page
Page: of 16

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:
*By using the service, you signify your acceptance of JD Supra's Privacy Policy.
- hide
- hide