ASC Reimbursements and Strategic Pressures Shape 2026 Outlook
In 2026, Ambulatory Surgery Centers face reimbursement challenges amid inflation and rising procedure complexity. Strategic cost management and payer negotiations are key focus areas.
In 2026, Ambulatory Surgery Centers face reimbursement challenges amid inflation and rising procedure complexity. Strategic cost management and payer negotiations are key focus areas.
CMS announces 2026 updates for OPPS and ASC payment systems, including expanded site neutral payments, skin substitute product unbundling, IPO list phase-out, and new hospital price transparency requirements.
ASCs face increasing delays and denials from payers impacting revenue cycles. Increased scrutiny on device/pharma claims and contract carve-outs prompt ASC contract renegotiations amid Medicare Advantage changes.