Navigating the Shifting Economics of Anesthesia in ASCs

Anesthesia remains one of the biggest pain points for ambulatory surgery centers (ASCs). Anesthesia reimbursement has dropped 8.2% over the past decade while provider salaries have climbed as much as 40%. In turn, that has contributed to creating a growing financial strain on ASC operators. Randy Quinn, chief compliance officer and chief integration officer at Guide Anesthesia, said the widening gap is unsustainable, and likely to get worse. “There’s nothing coming up in the future that looks like anesthesia collections are going to increase anytime soon,” Quinn said last month at the Arizona Ambulatory Surgery Center Association’s 2025 Annual Conference. Although a 2.25% increase from CMS is expected in September, he said it will do little to reverse the downward trend.

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Source: https://ascnews.com/2025/07/navigating-the-shifting-economics-of-anesthesia-in-ascs/

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