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Adeel A. Faruki, MD, MBA. Assistant Professor of Anesthesiology, Program Director, Advanced Perioperative Ultrasound and Clinical Training, University of Colorado Anschutz Medical Campus (Aurora, Colo). I am nervous to see how anesthesia groups at ambulatory surgical centers will adapt to the updated 2023 Medicare Physician Fee Schedule. I am excited to see how private equity groups who are already invested in ASCs will be adjusting their strategic plans after increased Medicare reimbursements from the final rule on Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment Systems for 2023.