ASA is pleased to present the annual commercial conversion factor survey for 2022. Each summer, we survey anesthesiology practices across the country, asking them to report up to five of their largest managed care (commercial) contract conversion factors (CFs) and the percentage each contract represents of their commercial population. This year, the national average commercial conversion factor was $85.42, ranging between $81.22 and $89.52 for the five contracts.
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Biased opioids may be as close as we ever get to the holy grail of opioid pharmacology. However, the advances are not limited to opioids. As Porter-Stransky and Weinshenker note, “biased agonism complicates G-protein-coupled receptor activity, as different agonists at the same receptor can have opposing effects on physiology.” These authors note that other drugs may have their normal responses altered with β-arrestin recruitment. This raises the possibility of the use of biased agonists as “potential therapeutics for addiction, analgesia, and other conditions.”
Whereas Medicare rates for other specialties represent between 75% and 85% of their commercial payment rates, payment for anesthesia services are less than one-third of commercial rates. In fact, it has been determined by some that the real number is likely now in the mid-20% range. This month, the Monitor reached out to two anesthesiology thought leaders who have long been intimate with the 33% Problem as both clinicians and health care executives – Joanne Conroy, MD, and David Reich, MD.
“Give me 10!” You probably have heard this from me before, or hopefully you read it in my ASA Monitor article in October 2020. Once again, it does not relate to push-ups. I am asking for 10 minutes a week to dedicate to ASA or state component society activities. We have thousands of members who already dedicate multiples of this time a week. Still, for example, if we all gave at least 10 minutes a week to read ASA communications, respond to calls to action, or attend a meeting or webinar, we could accomplish even greater things.
