A new practice-management editorial argues that the long-dominant ASC model is showing cracks:
• Professional fees for colonoscopy have dropped >40% since 2001
• Facility profits are increasingly captured by national ASC owners
• Anesthesia costs and staffing shortages continue to squeeze margins
With Medicare proposing +14% payment for office-based endoscopy in 2026 (and –7% for ASC settings), GI groups are re-evaluating where their future growth comes from.
Leaders like Dr. Lawrence Kosinski say office suites can restore control, autonomy, and value-based agility — while maintaining safety and patient experience.
The full article breaks down the financial inflection point, state payer shifts, and how early adopters are already scaling. A must-read for GI practices planning their next move.