Insights from an ASC Expert
July 28, 2021
In about half the states in the U.S., a Certificate of Need (CON) is required to develop a new ASC. The efficacy of CON can be a controversial issue, but this article will not discuss the value of the legislation. Instead, I’ll provide a brief overview of the process and key items to consider before filing an application. We’ll discover whether applying for a CON is really worth it.
Certificate of Need Approval Process Overview
The stated purpose of the CON is to ensure a documented ‘need’ for a new operating room in a defined geography (typically a county). The CON approval process varies by state, but the general steps to file an application for a new CON are as follows:
Cost of CON Filing and Probability of Success
Those interested in pursuing a new ASC project in a CON state often ask me:
So, is Filing a CON Application for a New ASC Worth It?
In the long run, it’s worth the fight. Facilities in CON states hold substantially more value than facilities in non-CON states, principally because supply of ASCs has been suppressed in CON states. We believe tailwinds are behind ASC applications right now also.
It is a time-consuming and often overwhelming process, but the ability to have a physician-led ASC and the financial upside that comes with investing in an ASC is usually well worth navigating the CON process.
Our team at Compass can help simplify the complex process and give you a professional opinion on your probability of success with a new CON filing. For context, our team has won every CON we’ve filed.