Michael McClain, founder of Left Coast Healthcare Advisors, returns to the DocBuddy Journal with Erik Sunset for a practical conversation about ASC expansion. Before jumping to blueprints and construction budgets, Michael argues that most surgery centers need to get honest about what problem they're actually trying to solve. More often than not, the answer isn't more square footage. From maximizing revenue cycle performance and payer contract management to block time utilization and physician alignment, Michael walks through the foundational work that should happen before any expansion conversation begins.

The episode also covers the five key questions every feasibility study should answer, why physician volume estimates are almost always optimistic, and how to build a realistic financial model that accounts for ramp time, regulatory costs, and operating capital. If you're thinking about growing your ASC, this episode is required listening before you break ground.

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