Anesthesia Answers for the ASC

One model achieves a delicate balance between rising demand and salaries, and declining supply and reimbursements.

Chris Bender, DNAP, CRNA

Ophthalmology Management July 8, 2025 Page(s): 10, 11

Clinical Report: Anesthesia Answers for the ASC

Overview

The report discusses the challenges faced by ambulatory surgery centers (ASCs) in meeting anesthesia service demands amidst a workforce shortage and declining reimbursements. A hybrid employment model for Certified Registered Nurse Anesthetists (CRNAs) is proposed as a solution to balance these issues while maintaining quality care.

Background

The demand for anesthesia services in ASCs has surged due to an aging population and increased access to healthcare, outpacing the supply of new anesthesia clinicians. This imbalance, compounded by declining Medicare reimbursements, has created a challenging environment for ASCs to provide timely and quality anesthesia care. Understanding innovative staffing models is crucial for sustaining anesthesia services in this evolving landscape.

Data Highlights

No numerical data provided in the article.

Key Findings

Demand for anesthesia services has significantly increased post-COVID pandemic.
Medicare anesthesia payments decreased by 20.8% from 2000 to 2020, with further cuts expected.
A hybrid employment model for CRNAs combines elements of 1099 and W2 employment to enhance service delivery.
This model incentivizes CRNAs based on anesthesia revenue per case, promoting higher productivity.
Dedicated anesthesia providers can maximize surgical schedules and minimize patient wait times.

Clinical Implications

Detail how the hybrid model addresses workforce shortages and financial pressures.

Conclusion

The hybrid employment model for CRNAs presents a viable solution to the challenges faced by ASCs in delivering anesthesia services. By fostering collaboration and aligning incentives, ASCs can better meet the growing demand for surgical care.

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Ophthalmology Management