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Overnight Status for Outpatients in MD Raises Safety Concerns

John Commins, for HealthLeaders Media, January 10, 2014

"Everyone is going to win here," he says. "Patients are going to win because they don't have to go to the hospital and be subjected to that environment. And the extra rates that they are paying, their co-insurance and deductibles, are much higher in the hospital. Payers win because they pay us a lot less money and we win because we get the ongoing business."

Quality Concerns
Barbara Fagan, program manager of ambulatory care services in the Maryland's Office of Health Care Quality, confirmed that MASC will be operating under the federal guidelines. However, she says that doesn't necessarily make it a good idea.

"We don't have a policy. We enforce the CMS regulations and I am going to tell you if you were to be a lawyer in court, [that] technically because it says it can't be 24 hours, 23:59 would be within that definition for an ASC," Fagan says.

"But I always tell anyone who asks that if you are going into an ASC and you are there for 23 hours for a procedure, I would question whether that is the safest place to have a procedure done."

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