Limited-Service Providers

Limited-service providers, also known as “niche” or specialty providers, are not new, but the nature and pace of their growth is. They include heart hospitals, orthopedic hospitals, surgical hospitals and ambulatory surgery centers (ASCs), cancer hospitals and centers, dialysis clinics, pain centers, imaging centers, mammography centers, and a host of other narrowly focused providers.  The last decade has seen explosive growth in both inpatient and ambulatory limited-service providers, increasingly owned, at least in part, by the physicians who refer patients to them.

The AHA is very concerned that the growth of limited-service providers, if left solely to market forces, will undermine access to health care services for communities across this country.



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