{"podcast":{"title":"ASC Podcast with John Goehle","slug":"asc-podcast-with-john-goehle-769478","podcast_index_feed_id":769478,"rss_url":"https://egdpodcast.podbean.com/feed.xml","website_url":"https://egdpodcast.podbean.com","image_url":"https://pbcdn1.podbean.com/imglogo/image-logo/2417883/ASCPodcastPic.jpg","author":"John Goehle","episode_count":100,"summary":"A podcast for Freestanding Ambulatory Surgery Centers with Industry Leader John J. Goehle, MBA, CASC, CPA. Mr. Goehle is the author of 10 books about the ASC industry and a frequent speaker at industry meetings.","last_synced_at":"2026-07-07T02:19:35.057219+00:00","page_url":"https://stenobird.com/podcast/asc-podcast-with-john-goehle-769478"},"episode":{"title":"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","slug":"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","published_at":"2026-07-06T12:55:57+00:00","page_url":"https://stenobird.com/podcast/asc-podcast-with-john-goehle-769478/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","show_page_url":"https://stenobird.com/podcast/asc-podcast-with-john-goehle-769478","url":"https://egdpodcast.podbean.com/e/episode-282-anesthesia-stipends-the-nopain-act-a-12m-asc-valuation-lawsuit-and-a-deep-dive-into-the-new-cms-2027-payment-rule-july-3-2026/","audio_url":"https://mcdn.podbean.com/mf/web/xpiz8wtvp5njmhrn/ASCPWJG-Episode_2827cpew.mp3","summary":"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: https://www.dropbox.com/scl/fo/j37wvj8v9h15lmbyhjri3/ABzhpV77rpOrshAXqCBv0oY?rlkey=h83k0pf1fb90lzi44463go4w9&dl=0 Video Seminar - “What CMS's Proposed 2027 Payment Rule Means for Your ASC” available on demand for free https://conferences.asc-central.com/2027-paymen…","meta_description":"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…","key_points":[],"chapters":[],"topics":[],"duration_seconds":3377,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/asc-podcast-with-john-goehle-769478/episodes/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/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/asc-podcast-with-john-goehle-769478/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.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}