Primary shoulder replacements are now approved to be performed in ambulatory surgery centers by the Centers for Medicare & Medicaid Services, with reasonable reimbursement rates to encourage the shift from hospitals. As eligibility criteria for ASCs relax, evidence shows that patients with a wider range of comorbidities can undergo outpatient surgery. New perioperative pain management advancements and ERAS protocols have expanded the range of eligible patients. Enhanced operational efficiency and digital technology have further improved the ASC environment for shoulder replacements. With high patient satisfaction and efficient workflows, the future of shoulder replacements in ASCs looks promising, offering safe, high-quality perioperative care for a wider range of patients.
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