6 Jul 2026 12:55
Episode 282 - Deep Dive into the Proposed 2027 CMS Payment Rule, Anesthesia Stipends, the NOPAIN Act, a $12M ASC Valuation Lawsuit - July 3, 2026ment Rule - July 3, 2026
In this episode of the ASC Podcast with John Goehle, we cover a money-focused news segment — the anesthesia stipend crisis by the numbers, a refresher on the NOPAIN Act and the separate Medicare payment it created for non-opioid pain management, and a $12 million ASC valuation lawsuit in Iowa. We also share a few things we've been seeing in the field. Then we go all-in on the big one: CMS's just-released proposed payment rule for 2027 — the proposed ASC update, the market-basket question, the Covered Procedures List, the device and NOPAIN provisions, quality-reporting changes, and the site-of-service savings — plus the summary and spreadsheet we built — and a video walkthrough coming to conferences.asc-central.com — to help you assess the impact on your center.
This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and Ambulatory Healthcare Strategies.
Notes and Resources from this Episode:
- Anesthesia stipends by the numbers — Becker's ASC (June 12, 2026): beckersasc.com
- The NOPAIN Act and separate Medicare payment for non-opioid pain management — ASC News: ascnews.com
- NOPAIN Act — CMS, Non-Opioid Treatments for Pain Relief (payment details, 42 CFR 416.174): cms.gov
- Iowa health system and physician group sue over a $12M ASC valuation gap — Becker's ASC: beckersasc.com
- 2027 Proposed Rule —
- Resource Library: the CMS proposed rule (CMS-1850-P) and addenda, our comprehensive written summary of the rule, the impact spreadsheet, and the video walkthrough — all gathered in one place:
- Video Seminar - “What CMS's Proposed 2027 Payment Rule Means for Your ASC” available on demand for free
INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE
ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com
Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member
Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access
Compare both programs:
