The substantial expansion of ambulatory surgery centers (ASCs) has attracted the attention of workers’ compensation policymakers and system stakeholders in many states. In 1996, there were about 2,200 ASCs nationwide, increasing to 5,364 in 2013.
This report expands analysis in the first edition of this study by comparing ASC payments for common knee and shoulder surgeries across 33 states in calendar year 2013. States included in this analysis represent 86 percent of the workers’ compensation benefits paid in the United States.
The report also examines rates of growth in ASC payments over time by looking at how average ASC payments changed from 2008 to 2013 for 29 states. Major fee schedule changes that happened over that time period are also discussed. In particular, changes in ASC payments resulting from major policy changes in North Carolina in 2013 and South Carolina in 2010, as well as substantial changes in fee schedule rates in California in 2013, Illinois in 2011, Massachusetts in 2009, and Texas in 2008, are examined.
The 33 states included in this study are Alabama, Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Wisconsin.
Payments to Ambulatory Surgery Centers, 2nd Edition. Bogdan Savych. May 2016. WC-16-39.
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