The Ambulatory surgery and emergency centers provide surgical and emergency medical services for outpatients and do not require hospitalization. These centers have developed into an excellent option for general public for minor and serious surgeries and therefore insurance companies are eyeing to capitalize on the growth of this industry. These centers have facilities with advanced equipments that help in providing services such as cataract and arthroscopic surgeries. 

The Washington Ambulatory Surgery Association mentions in its report \"The Economic Impact of Ambulatory Surgery Centers in Washington\" that these centers have economic impact beyond cost savings for patients and surgeons. The global ambulatory Surgical & Emergency Centers Industry is growing rapidly due to increased demand for treating patients and the improved cost efficiency of this particular business.

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In 1982 Centers for Medicare & Medicaid Services (CMS) agreed to pay reimbursements for surgeries performed at ambulatory surgery and emergency centers due to which industry has seen persistent growth as more and more procedures are receiving approval for reimbursement. The growth has been in both kinds of centers, namely, single specialty centers and multi specialty centers. 

The single specialty centers are specialized such as gastroenterology, dermatology, ophthalmology, pain management orthopedics and other surgery centers, whereas the multi specialty centers perform all types of surgeries. Colonoscopy and upper gastrointestinal (GI) endoscopic procedures are contributing in raising the graph of the industry.

One of the major driving forces for the rapid development of this industry is efficiency of these centers which offer reduction in time as well as the cost for the treatment. The typical wait time at the ambulatory surgery centers is less than 30 minutes; and the reimbursement for medical procedures at ambulatory surgery centers is also less compared to average contribution for emergency department visits. 

The market for ambulatory surgery and emergency centers has become attractive due to improved post-operative pain management achieved through technological advancements such as improved surgical techniques, anesthesia and pharmaceuticals. The better post-operative pain management helps to reduce the patient stay in the hospitals which eventually is a key factor for patients and doctors preferring the ambulatory surgical and emergency centers.

One of the major trends observed in the industry is that the large companies in the industry are trying to build centers with wider array of ambulatory care services rather than free standing surgery centers. This allows them to achieve economies of scale and have competitive edge in the market. Another significant trend of physician practice management companies investing in smaller single specialty surgery centers is also fueling the overall market growth. Furthermore, Birthing Centers are also becoming popular and are being increasingly built next to the free standing single specialty ambulatory surgical and emergency center.

With the rapidly expanding market, the number of mergers and acquisitions are also on rise, eventually leading to consolidation of the industry. For instance, Titan Health Corporation, Inc. was acquired by the United Surgical Partners International, Inc. in 2011. Some of the major international and regional participants in the global ambulatory surgery and emergency centers Market include, AmSurg Corporation, Community Health Systems, Inc., Corporacion Dermoestetica, S.A., Eifelhoehen-Klinik AG, Healthway Medical Corporation Ltd., IntegraMed America, Inc., LCA – Vision, Inc., Medical Facilities Corporation, NovaMed, Inc., Symbion, Inc., Terveystalo Healthcare Oyj, TLC Vision Corporation, Universal Health Services Inc., United Surgical Partners International, Inc., and Vanguard Health Systems, Inc.

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