Electrophysiology finally has an outpatient home… One physicians can own.
PulsePoint EP partners with leading electrophysiologists to develop physician-owned EP ambulatory surgery centers, purpose-built around the 2026 CMS shift that moved AF ablation into the outpatient setting.
~500,000
Projected US AF ablation procedures per year by 2027, growing at 10 to 15 percent annually against ~6+ month hospital waitlists.
For the first time in the history of cardiac electrophysiology, Medicare reimbursement has been established for atrial fibrillation ablation performed in a freestanding ambulatory surgery center. The January 2026 CMS rule change moves the most valuable procedure in your specialty out of the hospital and into a setting physicians can own.
The economics follow the clinical shift. In the hospital model, the facility fee for an AF ablation stays with the institution. The ASC channel changes where that procedure can be performed. Pulsed field ablation has made the ASC setting appropriate for a significant share of AF cases, in addition to CIEDs, and the regulatory framework now supports it. The conditions have not aligned like this before.
For physicians weighing independent ownership, the structural window is open, and it is clearest today.
IMAGE PLACEHOLDER
Wide editorial shot — EP lab / ASC facility
PulsePoint handles the development, capital, and operations. Physicians focus on the clinical work.
We Build It
Site selection, capital structure, state licensure, payer contracting, and accreditation. PulsePoint leads the full development process, from site identification through first case.
You Own It
Physician partners hold equity in the surgery center itself as operator-owners, not employees. The people performing the cases own the facility where they’re done.
We Run It
Business planning, referral & marketing strategy, revenue cycle, device contracting, payer relations, compliance, staffing, and financial forecasting & reporting are handled by the management company on an ongoing basis. Physician time stays clinical.
The PulsePoint EP Edge
PulsePoint is led by an operator who spent a decade as one of the top institutional investors in cardiovascular medical devices, bringing deep domain expertise in everything that shapes an EP lab: secular market drivers, procedural unit economics, shifting reimbursement and regulatory environments, and vendor dynamics. That perspective is built into how each center is structured: around the caseload and the people running it.
Behind each build is a team with depth across the disciplines an EP ASC actually requires: clinical expertise, device and procedural economics, top-tier healthcare transactional and regulatory work, and real-estate development. The founder is personally invested in every center, directly aligned with the incentive structure alongside the physicians who own it.
The hospital model was never designed with the physician in mind.
The 2026 CMS rule change makes a different structure possible for the first time. Here is what that looks like in practice.
In the hospital model
In a physician-owned EP ASC
The facility fee accrues to the institution
The facility fee accrues to the ownership group
Scheduling is determined by hospital administration
Scheduling is determined by the physician group
Clinical protocols go through institutional committees
Clinical standards are set by the physicians running the lab
Equipment and vendor decisions are made centrally
Device and vendor relationships are negotiated at the platform level for physician benefit
Your caseload builds the hospital’s balance sheet
Your caseload builds an asset you have an ownership stake in
Waitlists are a function of fixed hospital capacity
Capacity is purpose-built around your caseload
In the hospital model, the facility economics of an EP caseload accrue to the institution. Physician ownership in an EP ASC changes that.
The Structural Shift
In the hospital model, the facility economics of an EP caseload accrue to the institution. Physician ownership in an EP ASC changes that, at the scale a high-volume practice already operates.
Clinical Autonomy
Scheduling, protocols, and clinical standards are set by the physician group. There is no institutional layer between the EP and the decisions that affect how the lab runs.
Built for Your Caseload
A freestanding EP ASC adds procedural capacity outside the hospital scheduling system. For patients facing multi-month waits, it is a meaningful alternative. For the physician, it is a more controlled clinical environment.
Independent, and Built to Stay That Way
Most paths available to a high-volume EP today end in being employed or being acquired. Independent ownership is a third option. You run your own lab, on your own clinical standards, with the facility economics of your caseload accruing to the group that generates them rather than to a hospital or an acquirer. PulsePoint structures and operates the center. The practice stays yours.
IMAGE PLACEHOLDER
Portrait — Kevin Connor
Kevin Connor
Founder & Chief Executive Officer, PulsePoint EP
Full bio forthcoming.
Let’s talk.
If you are an electrophysiologist considering what independent facility ownership could look like for your practice, we are happy to have that conversation.