Becker’s Healthcare Podcast Brett Maxfield, MS, CRNA and President and CEO of Maxfield Healthcare Solutions
Nov 27, 2025
Brett Maxfield, MS, CRNA, is the President and CEO of Maxfield Healthcare Solutions, with a rich background in anesthesia and ASC consulting. In this discussion, he highlights key trends like rising costs and anesthesia shortages impacting ambulatory surgery centers. Brett delves into the transformative potential of AI for operational efficiency and quality assurance. He also addresses the shifts in specialty care from hospitals to ASCs and the challenges of technology adoption due to high EMR costs, advocating for affordable solutions to enhance care delivery.
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Rising Costs Squeeze ASC Margins
- ASC finances are tightening as reimbursements fall while supply and operating costs remain high post-pandemic.
- Staffing shifts and rising expenses force ASCs to rethink margins and operational models quickly.
Clinician Exodus Created Anesthesia Shortage
- Many clinicians left hospitals after the pandemic and built ASCs or office-based practices, taking anesthesia providers with them.
- That exodus contributed to a widespread anesthesia shortage and changed local labor markets.
AI Can Drive ASC Efficiency Gains
- AI promises concrete operational gains such as faster QA feedback and smarter scheduling based on real performance data.
- Properly applied AI can boost efficiency, reduce wait times, and tighten revenue-cycle controls in ASCs.