While there is general consensus on the structure of a Perioperative Surgical Home (PSH) model and the types of services it will provide, there is less agreement on who will pay for those services or how those payments will be structured. At the ASA’s PRACTICE MANAGEMENT 2015 conference in Atlanta, a number of presentations centered on payment models. Although these talks did not exclusively address the PSH, much of the information presented can be applied to this model of care.

A PSH is primarily a method of organizing and delivering optimal medical care for the patient’s particular condition and co-morbidities, but it may also be considered an alternative payment model (APM). In fact, ASA intends to have the Centers for Medicare & Medicaid Services (CMS) recognize the PSH as an APM, which would provide two benefits: to validate...

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