Ambulatory Surgical Center (ASC), also known as outpatient surgery center or same day care center, is a healthcare facility that focuses on delivering same-day surgical care, including diagnostic and surgical (preventive) procedures.

The global ambulatory surgical center market is estimated to account for US$ 112,823.4 Mn in terms of value by the end of 2027.

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Global Ambulatory Surgical Center Market: Drivers

Increasing number of cataract surgeries is expected to propel growth of the global ambulatory surgical center market over the forecast period. Ophthalmic surgeries were one of the firsts to be moved to outpatient settings due to change in Medicare coverage policy, which denied payment for overnight stays for cataract patients. According to the study, ‘The national and subnational prevalence of cataract and cataract blindness in China: a systematic review and meta-analysis’, published in the Journal of Global Health in June 2018, the prevalence of any cataract ranged from 6.71% in people aged 45-49 years to 73.01% in elderly aged 85-89 years in males.

Increasing prevalence of chronic disease is also expected to aid in growth of the global ambulatory surgical center market over the forecast period. For instance, according to the World Health Organization, around 18.1 million new cases and 9.6 million deaths were registered due to cancer worldwide in 2018.
North America region held dominant position in the global ambulatory surgical center market in 2019, accounting for 52.9% share in terms of volume, followed by Europe.

Global Ambulatory Surgical Center Market: Restraints

However, low physician-to-patient ratio is expected to hinder growth of the global ambulatory surgical center market. For instance, according to Competition Commission of South Africa’s preliminary health market inquiry findings released in July 2018, the estimated yearly average of doctors per 1,000 patients was 1.75 in the private sector between 2010 and 2014.

Moreover, disappearance of out-of-network reimbursement is also expected to hinder growth of the market. This can be attributed to pressure of payors on physicians and patients to choose in-network providers for their referrals and encounters.

Global Ambulatory Surgical Center Market: Opportunities

Adoption of joint venture strategies in establishing new ASCs is expected to offer lucrative growth opportunities for players in the market. In current scenario, decreased revenue in ASCs suggests for joint venture as it may reduce initial investment cost and partially decrease downside financial risk.

Moreover, key players also need to assess barriers to shifting cases from hospitals to ASCs. This can help in addressing inability of ASCs in achieving required volume threshold to generate revenue.

Gastroenterology segment in the global ambulatory surgical center market was valued at US$ 24,279.6 Mn in 2019 and is expected to reach US$ 35,598.1 Mn by 2027 at a CAGR of 4.9%% during the forecast period.

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Market Trends/Key Takeaways

In the U.S., majority of ASCs are at least partially owned by physicians or physician groups. This allows for timely procedures in ASCs. Moreover, such ASCs do not face issues of shortage of operating rooms, delay or rescheduling due to staffing issues or competing demands for operating room space from emergency cases.

Among procedures, contract removal/lens insertion, arthroscopy, upper gastrointestinal procedures, and colonoscopy are the most performed procedure in ASCs.

Regulations

U.S.
Alabama Department of Public Health
ASC Definition
• Any health care facility with the primary purpose of providing medically necessary or elective surgical care
Licensing Requirements
• All hospitals must obtain a license, and "ambulatory surgical treatment facilities for patients not requiring hospitalization" are included in the definition of hospital.

Global Ambulatory Surgical Center Market: Competitive Landscape

Major players operating in the global ambulatory surgical center market include, AmSurg Corp., HCA Holdings, Inc., Tenet Healthcare, Surgical Care Affiliates, Inc., Surgery Partners, Ambulatory Surgical Centers of America, Heathway Medical Group, Community Health Systems, Inc., and Vision Group Holdings.

Global Ambulatory Surgical Center Market: Key Developments

Key players in the market are focused on establishing new ASCs. For instance, in January 2020, Grady Health System choose Skanska and its joint venture partner H.J. Russell & Co. to build a new Center for Advanced Surgical Services in Atlanta.

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