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Battle Post-op Pain Without Opioids - April 2016 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Sedasys cost much less per-case than an anesthesia professional — $150 to $200 versus $600 up to $2,000 for an anesthesia provider — how colonoscopies are reimbursed meant that the facility didn't always see the savings. Dr. Noback says that typically a GI provider and facility receive a bundled payment that covers the procedure, as well as costs associated with any anesthesia equipment, supplies and drugs. If an anesthesia provider is brought in to administer propofol, he receives a separate professional fee. With Sedasys, nobody quali- fied for the separate professional fee, and its higher disposables cost cut into the facility's bundled reimbursement for the procedure. So in theory, facilities could pay up to $200,000 for a machine with limited use and have higher per-case costs — without receiving any additional reimbursement. Where do we go from here? Of the 4 facilities that participated in the initial Sedasys rollout, 2 we talked to say they're disappointed that the technology will no longer be available. A ProMedica Toledo (Ohio) Hospital spokesperson says they hope J&J or another company markets the technology in the future. Andrew Ross, MD, section head of gastroenterology at Virginia Mason Medical Center in Seattle, Wash., says that in discussions with the compa- ny, they learned "that the decision was driven purely by economics." He says that the hospital found increased efficiency and patient satisfaction after its use in more than 8,000 procedures. "In light of these and other significant benefits, it's difficult to believe this technology would have no future in medicine," he says. Both Rhode Island Hospital and Loma Linda's Dr. Volk declined to comment further on Ethicon's announcement. Dr. Apfelbaum says that despite anesthesia's initial hesitance about the machine, he was also disappointed when he heard the news. A P R I L 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 1 9

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