Are ASCs Mom and Pops or Enterprise?
15 years ago, these factifies were mostly just doing eyes and small orthopedic procedures that required little to no inventory and very standard billing processes.
They were generally run like a pizza shop, where everyone did a little of everything and clinical people generally taking on the administrative and business rolls. They did a couple hundred cases a year and could be pretty laid-back work environments.
Their A/P and procurement process often worked with paper-based receipts and inventory mostly done by eye.
Their Contracts were mostly handshake agreements and the price you paid for something was handled by memory.
Things are changing!
The ASC segment of healthcare is booming around the US with a predicted CAGR of 5.4% expected to be over $1.4T by 2033!
Making it one of the fastest and most important growing segments of the US healthcare system.
These businesses have graduated with some facilities doing 100 cases a week and spending over $20M a year. They may be closed on the weekends (for now), but they are not even close to "laid-back". When you work at today's ASC you are moving!
The problem is that the large increase in utility has not resulted in a full evolution of contracts processes.
Pricing is often unknown and unverified before paying an invoice.
Rebates and Credits go unverified always assuming the vendor is keeping perfect track with secondhand data.
True-Ups for capital are getting paid with no check or question of the vendor.
***If the facilities wanted to complain, had a suspicion or a question they do not have the data to back it up anyway. So, they turn a blind eye most of the time.
As Margins continue to feel pressure from falling reimbursements and increasing product costs, ASCs need to employ data gathering systems that can arm them with information to help them overcome these challenges without losing focus on everything else they are doing to deliver care.
Frankly most ASCs do not even know where the contracts or pricing for their top 10 vendors are (especially if they are locally negotiated contracts).
We need to begin to create and execute best practices when it comes to our largest spend and the best place for us to recapture of the decreasing margin.
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