In this episode of the BackTable Podcast, Teri Yates explores the nuances of choosing between an Office-Based Lab (OBL) and Ambulatory Surgery Center (ASC) for private practices. Teri is the CEO of Accountable Physician Advisors, a consulting firm which specializes in OBLs, ASCs, and hybrid models for private-practice physicians. She is also President of DocCentric, a company focused on supporting physicians building and leading their own ASCs.

The discussion includes a comprehensive analysis of the financial, regulatory, and operational considerations for physicians contemplating this decision. This includes insights into reimbursement models, Medicare regulations, and the strategic advantages of each model. The episode also touches on the importance of feasibility studies, partnerships with other specialties, and real estate strategies when developing these facilities. The conversation provides valuable advice for navigating the complexities of ASC development and emphasizes the value of maintaining independence and leveraging physician-owned models for long-term success.

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SHOW NOTES

00:00 - Introduction

04:19 - Deep Dive into OBL and ASC: Definitions, Differences, and Decisions

07:26 - Financial Implications of ASC vs. OBL

10:56 - Hybrid Model: Combining OBL and ASC for Flexibility

15:14 - Navigating the Complexities of ASC Development

20:03 - Real Estate Strategies for OBL and ASC Projects

22:50 - Staffing Considerations and Physician Entrepreneur Insights

35:17 - Future of OBL and ASC: Trends and Predictions

39:43 - Closing Thoughts and Resources for Further Learning

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RESOURCES

Ambulatory Surgery Center Association:

https://www.ascassociation.org/home

OEIS Annual Meeting 2024 Las Vegas:

https://oeisweb.com/meetings/2024-annual-meeting/

Accountable Physician Advisors (Teri’s consulting firm):

http://www.accountablephysicianadvisors.com/services

DocCentric:

https://doccentricasc.com/

NOON Development Company:

https://noondevelopment.com/

BT VI Episode #366 - Navigating OBL & ASC Business: Pitfalls to Avoid with Teri Yates:

https://www.backtable.com/shows/vi/podcasts/366/navigating-obl-asc-business-pitfalls-to-avoid

BT VI Episode #202 - Staffing the OBL with Dr. Krishna Mannava and Kristin Longwell:

https://www.backtable.com/shows/vi/podcasts/202/staffing-the-obl

BT VI Episode #129 - OBL / ASC Business Pearls with Dr. Jim Melton:

https://www.backtable.com/shows/vi/podcasts/129/obl-asc-business-pearls

BI VI Episode #121 - Office-Based Labs (OBLs) & What You Can Do in Them with Dr. Mike Watts:

https://www.backtable.com/shows/vi/podcasts/121/office-based-labs-obls-what-you-can-do-in-them

BT VI Episode #42 - Building an Outpatient UFE Practice with Dr. Mary Costantino:

https://www.backtable.com/shows/vi/podcasts/36/building-an-outpatient-ufe-practice