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Volume Thirteen • Fall 2007
Future of the Industry: Predictions for 2008
S
ince the inception of the first ASC Frank Chapman is the Chief Operating Officer of standard diagnostic and therapeutic procedures,
which opened in 1970, the Asheville Gastroenterology Associates. Mr. Chapman but physicians must prepare to incorporate more
holds one of two ASGE seats on the Board of Directors advanced procedures as the technology becomes
endoscopy center marketplace has
of the Association for the Accreditation of Ambulatory available.”
seen a lot of changes during its evolution. Health Care (AAAHC) and has been elected to a three
It is for certain that 2007 brought year term on the AAAHC’s Governing Board. He is a Bergein F. Overholt, MD, a director of AmSurg since
profound changes to the marketplace trained and active AAAHC surveyor. Mr. Chapman is November 1992, has served as President of
and to many of the players within that the sole non-physician member of the ASGE’s Practice Gastrointestinal Associates, P.C., a gastrointestinal
space. In the following article, Management Committee and an immediate past specialty group, and a medical director of The
president of the Medical Group Management Endoscopy Center, Knoxville, Tennessee. Dr. Overholt
EndoEconomics invited key leaders to
Association’s (MGMA) GI Administrator’s Assembly. also serves as Medical Director for AmSurg and
share their predictions for the industry in
Medical Director of the Laser Department at the
2008. Each respondent’s answer Thompson Cancer Survival Center in Knoxville,
“Due to the increasingly
provides his perspective of the market. Tennessee. He is also a member of the Board of
difficult reimbursement envir-
onment and the need to Directors of Maryville College in Maryville, Tennessee.
“I foresee a renewed interest
generate more procedures, we
by both gastroenterologists
are seeing an increased “2007 was a watershed year for
and hospitals in pursuing the
interest in GI centers seeking the ASC market with continued
delivery of GI services
Jonathon Vick corporate partners with pressure from the hospitals that
collaboratively instead of
resources to help centers are responding to the shift from
competitively. Doctors still
grow. At the same time, there has been an HOPD to ASCs. As we transition
William Thompson need hospitals and hospitals increase in the number of ASC companies with from 2007 to 2008, we sit
still need doctors. Most
these resources that have an interest in Philip Grossman, MD, with baited breath awaiting
importantly, patients need doctors and hospitals FACP, FACG, AGAF the final legislative onslaught
partnering with GI centers on a majority or
to work together to ensure the delivery of care
minority basis. Due to this competition, the that threatens the very economic viability of many
that is safe, effective, and cost-efficient.”
purchase multiples being offered are very ASCs throughout the country.
William Thompson is President and Managing
attractive, and we see transactional activity with
Partner of Hall Render Killian Heath & Lyman, PSC. He GI centers remaining strong through 2008.” My predictions for 2008 include the closure of
concentrates his practice on financial relationships some ASCs and some mergers to increase
among health care providers, including hospitals, Jonathan C. Vick, the Founder and President of ASCs economies of ASCs. I expect to see a
physicians, and health systems. He provides advice Inc., has assisted in development, merger, and restructuring of contracts with managed care to
and counsel on a national basis regarding mergers acquisition transactions for over 150 physician- break the links to percent of Medicare, and
and acquisitions, joint ventures, reimbursement owned ambulatory surgery and endoscopy centers finally, the growth of many innovative services as
issues, and network integration. Mr. Thompson also since 1984. He founded and was a principle my colleagues and I continue to provide first rate
shareholder of SurgiCenter Development Cor-
counsels clients on a number of state and federal care and service to patients while remaining
health care regulatory matters, including fraud and poration in 1984 and Endoscopy Center Affiliates in
viable to serve in the future.”
abuse, the Stark Law, antitrust, tax-exempt, and 1994. Mr. Vick participated as a general partner for
compliance issues. He has been named in The Best a national network of Medicare certified surgery and
Philip Grossman, MD, FACP, FACG, AGAF, holds
Lawyers in America under the Health Care Section for endoscopy centers that were acquired in 1995. He
dual faculty appointments at the University of Miami
ten years running. has extensive experience in ASC/EC development,
School of Medicine serving both as Voluntary
business planning, operations, valuations, and
Associate Professor of Gastroenterology as well as
mergers and acquisitions.
“For endoscopic ASCs, as we Epidemiology and Public Health. He is Founder and
approach 2008, it is a time of President of Erlan Medical Management, a consulting
contemplation and planning as “GI ASCs continue to provide firm specializing in technology applications, quality
we all prepare for change of improved service and reduced assurance and strategic planning. He has also earned
truly Darwinian magnitude as costs to patients and improved Fellowship in the American College of Physicians,
we must adapt or die. efficiencies and control for American College of Gastroenterology and the
Frank J. Chapman Operational efficiency and the physicians. 2008 looms as a American Gastroenterological Association. He serves
control of cost will impact year of change with increasing as Medical Director and Chairperson of the Board of
infrastructure development as we prepare to Bergein F. government and third party Kendall Endoscopy and Surgery Center. Dr. Grossman
weather a storm of known intensity but unknown
Overholt, MD
efforts to lower payment for GI also serves as Chief of Gastroenterology at Cedars
Medical Center in Miami.
duration.” procedures in ASCs. In 2008, the core
procedures of the GI ASC will continue to be
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