We recently published a site-of-care shift library compendium showing how procedures are set to shift out of the inpatient setting across the next few years. To project each procedure, we accounted for recent regulatory changes and market forces, such as the removal of a procedure from CMS’ Inpatient Only List (IPO) or the degree of specialist ownership in freestanding sites.
Because our methodology relied on projecting forward historical trends or using an in-service line parallel to project future shift, we didn’t include a projection for percutaneous coronary interventions (PCI). But with PCI newly on the Ambulatory Surgery Center (ASC) payable list, we do see potential for shift.
However this shift will only happen quickly if market forces pull eligible volumes out of the hospital.
Types of market forces to look for in the PCI market
Based on these market forces, here’s how we think PCI could shift in your market.