Here are the top three ASC payors by volume for orthopedics by CMS region, according GENASCIS's database of information from more than 700 ASCs across the country.
Region 1 (Conn., Mass., Maine, N.H., R.I., Vt.)
1. BCBS Anthem — 42 percent
2. Medicare — 21 percent
3. CIGNA HMO — 20 percent
Region 2 (N.J., N.Y., V.I., P.R.)
1. BCBS PPO — 43 percent
2. Other PPO — 17 percent
3. AETNA PPO — 15 percent
Region 3 (Del., D.C., Md., Md., Pa., Va., W.Va.)
1. BCBS PPO — 52 percent
2. Medicare — 16 percent
3. Other PPO — 13 percent
Region 4 (Ala., Fla., Ga., Ky., Miss., N.C., S.C., Tenn.)
1. BCBS PPO — 55 percent
2. Medicare — 21 percent
3. Workers' compensation — 12 percent
Region 5 (Ill., Ind., Mich., Minn., Ohio, Wis.)
1. BCBS PPO — 32 percent
2. BCBS ANTHEM — 22 percent
3. Medicare — 18 percent
Region 6 (Ark., La., N.M., Okla., Texas)
1. BCBS PPO — 33 percent
2. Medicare — 21 percent
3. United Healthcare PPO — 17 percent
Region 7 (Iowa, Kan., Mo., Neb.)
1. BCBS PPO —37 percent
2. Medicare — 21 percent
3. Workers' compensation — 18 percent
Region 8 (Colo., Mont., N.D., S.D., Utah, Wyo.)
1. BCBS PPO — 27 percent
2. Other PPO — 19 percent
3. (tie) BCBS Anthem — 18 percent
(tie) Workers' compensation — 18 percent
(tie) Medicare — 18 percent
Region 9 (A.S., Ariz., Calif., M.P., Guam, Hawaii, Nev.)
1. BCBS PPO — 42 percent
2. Workers' compensation — 19 percent
3. Medicare — 18 percent
Region 10 (Alaska, Idaho, Ore., and Wash.)
1. BCBS PP — 37 percent
2. Other PPO — 27 percent
3. Workers' compensation — 15 percent
Learn more about GENASCIS.
Region 1 (Conn., Mass., Maine, N.H., R.I., Vt.)
1. BCBS Anthem — 42 percent
2. Medicare — 21 percent
3. CIGNA HMO — 20 percent
Region 2 (N.J., N.Y., V.I., P.R.)
1. BCBS PPO — 43 percent
2. Other PPO — 17 percent
3. AETNA PPO — 15 percent
Region 3 (Del., D.C., Md., Md., Pa., Va., W.Va.)
1. BCBS PPO — 52 percent
2. Medicare — 16 percent
3. Other PPO — 13 percent
Region 4 (Ala., Fla., Ga., Ky., Miss., N.C., S.C., Tenn.)
1. BCBS PPO — 55 percent
2. Medicare — 21 percent
3. Workers' compensation — 12 percent
Region 5 (Ill., Ind., Mich., Minn., Ohio, Wis.)
1. BCBS PPO — 32 percent
2. BCBS ANTHEM — 22 percent
3. Medicare — 18 percent
Region 6 (Ark., La., N.M., Okla., Texas)
1. BCBS PPO — 33 percent
2. Medicare — 21 percent
3. United Healthcare PPO — 17 percent
Region 7 (Iowa, Kan., Mo., Neb.)
1. BCBS PPO —37 percent
2. Medicare — 21 percent
3. Workers' compensation — 18 percent
Region 8 (Colo., Mont., N.D., S.D., Utah, Wyo.)
1. BCBS PPO — 27 percent
2. Other PPO — 19 percent
3. (tie) BCBS Anthem — 18 percent
(tie) Workers' compensation — 18 percent
(tie) Medicare — 18 percent
Region 9 (A.S., Ariz., Calif., M.P., Guam, Hawaii, Nev.)
1. BCBS PPO — 42 percent
2. Workers' compensation — 19 percent
3. Medicare — 18 percent
Region 10 (Alaska, Idaho, Ore., and Wash.)
1. BCBS PP — 37 percent
2. Other PPO — 27 percent
3. Workers' compensation — 15 percent
Learn more about GENASCIS.