{"id":34349,"date":"2025-04-23T15:53:50","date_gmt":"2025-04-23T19:53:50","guid":{"rendered":"https:\/\/advisory.avalerehealth.com\/?p=34349"},"modified":"2025-05-08T11:20:13","modified_gmt":"2025-05-08T15:20:13","slug":"site-of-care-optimization-offers-savings-for-specialty-services","status":"publish","type":"post","link":"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services","title":{"rendered":"Site of Care Optimization Offers Savings for Specialty Services"},"content":{"rendered":"

In the current environment of rising healthcare costs, ongoing reimbursement pressure, and continued physician employment and provider consolidation, providers must reconsider how to effectively and affordably offer care to patients. Services that may be provided across multiple sites of care (SOCs), such as procedures and imaging, offer a strong opportunity to increase efficiency, improve quality, and reduce cost when the SOC in which they are performed is optimized. Policies such as site-neutral payment<\/a> can drive SOC choice and have been considered by Congress, various administrations, and private payers.<\/p>\n

SOC optimization refers to the strategy of directing patients to the most cost-effective, clinically appropriate setting to receive a given healthcare service without sacrificing quality<\/a>. Once clinical standards and technology allow a service to be safely rendered in a particular SOC, providers can encourage patients with the appropriate risk profile to seek\u2013and payers can encourage providers to render\u2013a given service in the lowest-cost SOC. This can reduce associated expenditures for both the patient and the payer while maintaining appropriate and sufficient reimbursement for the provider.<\/p>\n

Lower-acuity SOCs like ambulatory surgery centers (ASCs) and physician offices can also offer an improved patient experience via more convenient access to care and an improved provider experience via dedicated operating room hours. For a procedure to be covered by Medicare in lower-acuity SOCs, it must not appear on Medicare\u2019s Inpatient Only List (IPO)<\/a>. For a procedure to be covered by Medicare in the ASC setting, it must also be added to the ASC Covered Procedures List (CPL)<\/a>.<\/p>\n

Specialty services constitute a key savings opportunity for several reasons. First, management by a dedicated class of specialty providers encourages the development of clear standards of care. Second, these services are often performed in a facility setting, such as a hospital outpatient department (HOPD) or ASC. Services performed in a facility setting incur a separate \u201cfacility fee\u201d intended to cover expenses related to the facility itself (e.g., staffing, equipment, and overhead) in addition to the professional fee, which reimburses the physician for their time. In Medicare, the professional fee is the same across facility-based settings (i.e., HOPDs and ASCs), so the facility fee is responsible for the entire cost differential between these two settings, representing the savings opportunity.<\/p>\n

Utilization Across Different Sites of Care<\/strong><\/p>\n

Underlying trends in utilization across SOCs inform the magnitude of savings that SOC optimization may generate, and different procedures and specialties have varying degrees of SOC optimization. For the Medicare population, Figure 1 shows the SOC breakdown for representative high-volume procedures in ophthalmology, pain management, gastroenterology, and orthopedics in 2018 and 2023, and Table 1 shows the percentage change in each SOC\u2019s relative utilization during that period.<\/p>\n

Figure 1. Site of Care Breakdown for Select Procedures, Medicare, 2018 and 2023<\/strong><\/p>\n

\"\"<\/p>\n

Note: \u201cOther\u201d includes all SOCs other than inpatient, HOPD, and ASC. Volume in this category for the above procedures is generally synonymous with in-office utilization.<\/p>\n

Table 1. Shift in Site of Care for Select Procedures, Medicare, 2018 to 2023<\/strong><\/p>\n\n\n\n\n\n\n\n\n
<\/th>\nInpatient<\/th>\n\u00a0HOPD<\/th>\nASC<\/th>\n\u00a0Other<\/th>\nTotal 2023 Utilization<\/th>\n<\/tr>\n<\/thead>\n
Cataract removal (66984)<\/td>\n0%<\/td>\n-6%<\/td>\n+6%<\/td>\n-0%<\/td>\n3,162,537<\/td>\n<\/tr>\n
Spine injection (62323)<\/td>\n0%<\/td>\n-2%<\/td>\n-2%<\/td>\n+5%<\/td>\n813,895<\/td>\n<\/tr>\n
Colonoscopy (45385)<\/td>\n-1%<\/td>\n-1%<\/td>\n+2%<\/td>\n0%<\/td>\n1,964,356<\/td>\n<\/tr>\n
Knee arthroplasty (27447)<\/td>\n-61%<\/td>\n+47%<\/td>\n+13%<\/td>\n0%<\/td>\n776,499<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Note: Some percentage changes may not sum perfectly due to rounding. <\/span>Source: 100% Medicare Fee-for-Service file, 2018-2023<\/span><\/p>\n

Using the 100% Medicare data file, Avalere Health\u2019s analysis of these representative codes suggests four different paradigms of SOC shift, each with its own implications for SOC optimization (Table 2)<\/p>\n

Table 2. Site-of-Care Optimization Paradigms<\/strong><\/p>\n\n\n\n\n\n\n\n\n
Procedure Archetype<\/th>\nCurrent SOC Dynamics<\/th>\nRecent Shifts<\/th>\nFuture Directions<\/th>\n<\/tr>\n<\/thead>\n
Cataract removal (66984)<\/td>\n\u2022 Can be performed in any outpatient setting
\n\u2022 No inpatient volume<\/td>\n		\u2022 Modest migration of utilization from the HOPD to the ASC
\n\u2022 Stable minority of utilization in the office<\/td>\n		\u2022 Likely continued shift from the HOPD to the ASC, gradually increasing the relative dominance of the ASC<\/td>\n<\/tr>\n
Spine injection (62323)<\/td>\n\u2022 Can be performed in any outpatient setting
\n\u2022 No inpatient volume<\/td>\n		\u2022 Utilization more evenly spread between the HOPD, the ASC, and the office
\n\u2022 Over time, shifts away from the HOPD and the ASC to the office<\/td>\n		\u2022 Ongoing clinical and administrative developments (e.g., availability of image guidance in lower-acuity SOCs, payer requirements, etc.) may continue shift to the office<\/td>\n<\/tr>\n
Colonoscopy (45385)<\/td>\n\u2022 Can be performed in the inpatient, HOPD, and ASC settings
\n\u2022 Negligible inpatient volume<\/td>\n		\u2022 Relatively stable, with minor incremental shift from the HOPD to the ASC<\/td>\n\u2022 Likely continued stability, until reimbursement pressure, payer SOC requirements, site-neutral payment policy, or other forces incentivize further SOC shift<\/td>\n<\/tr>\n
Knee arthroplasty (27447)<\/td>\n\u2022 Can be performed in inpatient, HOPD, and ASC settings
\n\u2022 Removed from IPO list January 1, 2018
\n\u2022 Added to ASC CPL January 1, 2020<\/td>\n		\u2022 In 2018 (first year off IPO list), nearly 30% of volume occurred in the HOPD
\n\u2022 In 2024, nearly 90% of volume occurred in the HOPD or the ASC<\/td>\n		\u2022 Major initial shift away from the inpatient setting achieved
\n\u2022 Ongoing potential to shift volume from the HOPD to the ASC<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Note: These paradigms are not exhaustive. They do not address procedures that are on the IPO list and\/or have not yet been added to the ASC CPL. A procedure on the IPO list is not eligible for SOC optimization; once it is removed, it typically experiences a \u201cprobationary\u201d period of HOPD utilization lasting one to three years, after which it may be added to the ASC CPL. Optimization occurs as volume shifts to the HOPD and\/or the ASC.<\/span><\/p>\n

These paradigms generalize several archetypal paths toward SOC optimization for specialty services. Some procedures may already have more \u201cmature\u201d SOC optimization (i.e., a high proportion of utilization in the lowest-acuity setting), while other procedures may have more \u201crunway\u201d with respect to SOC shift. At a high level, some specialties, such as pain management, have converted a material proportion of utilization to the lowest-acuity SOC; others, such as orthopedics, have done so for some procedures; and still others, such as cardiology, are earlier in this transition.<\/p>\n

Importantly, SOC shifts often depend upon changes in CMS or commercial payer policy. In the absence of changes to the IPO or the ASC CPL, which commercial payers typically follow, SOC patterns can stagnate. For example, Avalere analysis of 100% Medicare data showed that, from 2017 to 2022, there were no major changes to SOC policies for key otolaryngology (ear, nose, and throat) procedures. As a result, the changes in SOC utilization during this period were minimal (typically less than a 3% shift) and directionally mixed (some procedures shifting to the HOPD and others to the ASC or office)<\/span><\/p>\n

While the SOC for specialty services has long-term relevance to clinical quality and physician practice dynamics, the most immediate impact is to cost. Figure 2 shows the difference in cost between the HOPD and the ASC for CPT code 45385 (colonoscopy), and Table 3 shows the implied savings if all instances of the selected procedures performed in the HOPD were instead performed in the ASC. The HOPD and the ASC have the same professional fee in Medicare, so the difference in procedure price is 100% attributable to difference in facility fee.<\/p>\n

Figure 2. Total Medicare Procedure Price for CPT Code 45385 (Colonoscopy), 2025<\/strong><\/p>\n

\"\"<\/p>\n

Source: Medicare Procedure Price Lookup Tool<\/span><\/p>\n

Table 3. Implied Savings from HOPD-to-ASC Shift for Selected Procedures, 2023<\/strong><\/p>\n\n\n\n\n\n\n\n\n
<\/th>\nTotal HOPD Price<\/th>\nTotal ASC Price<\/th>\nTotal Price Difference<\/th>\nHOPD Volume<\/th>\nImplied Savings<\/th>\n<\/tr>\n<\/thead>\n
Cataract removal (66984)<\/td>\n$2,701<\/td>\n$1,643<\/td>\n$1,058<\/td>\n543,607<\/td>\n$575.3M<\/td>\n<\/tr>\n
Spine injection (62323)<\/td>\n$743<\/td>\n$434<\/td>\n$309<\/td>\n333,217<\/td>\n$102.9M<\/td>\n<\/tr>\n
Colonoscopy (45385)<\/td>\n$1,335<\/td>\n$816<\/td>\n$519<\/td>\n912,926<\/td>\n$473.9M<\/td>\n<\/tr>\n
Knee arthroplasty (27447)<\/td>\n$14,348<\/td>\n$10,622<\/td>\n$3,726<\/td>\n583,526<\/td>\n$2,174.1M<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Source: 100% Medicare Fee-for-Service File, 2023; Hospital Outpatient Prospective Payment and ASC Final Rule Addenda, 2023<\/span><\/p>\n

Conclusion<\/strong><\/p>\n

While each individual patient\u2019s acuity and clinical circumstances will continue to determine the most appropriate SOC for any given service or procedure, the opportunity to shift certain types of care in the aggregate toward lower-acuity SOCs represents a meaningful opportunity to address healthcare expenditures. Providers can demonstrate value to patients and payers by rendering services in lower-acuity, lower-cost SOCs, and evolving clinical standards and payment policies (e.g., site-neutral payment) will simultaneously shape SOC optimization.<\/p>\n

If your organization would like to discuss site-of-care, specialty services, or physician practice management, connect with us<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

In the current environment of rising healthcare costs, ongoing reimbursement pressure, and continued physician employment and provider consolidation, providers must reconsider how to effectively and affordably offer care to patients. Services that may be provided across multiple sites of care (SOCs), such as procedures and imaging, offer a strong opportunity to increase efficiency, improve quality,…<\/p>\n","protected":false},"author":28,"featured_media":23459,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3],"tags":[],"content-categories":[1023],"class_list":["post-34349","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-insights","content-categories-coverage-and-payment","entry","has-media"],"acf":[],"yoast_head":"\nSite of Care Optimization Offers Savings for Specialty Services | Avalere Health Advisory<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Site of Care Optimization Offers Savings for Specialty Services | Avalere Health Advisory\" \/>\n<meta property=\"og:description\" content=\"In the current environment of rising healthcare costs, ongoing reimbursement pressure, and continued physician employment and provider consolidation, providers must reconsider how to effectively and affordably offer care to patients. Services that may be provided across multiple sites of care (SOCs), such as procedures and imaging, offer a strong opportunity to increase efficiency, improve quality,…\" \/>\n<meta property=\"og:url\" content=\"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services\" \/>\n<meta property=\"og:site_name\" content=\"Avalere Health Advisory\" \/>\n<meta property=\"article:published_time\" content=\"2025-04-23T19:53:50+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-08T15:20:13+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/advisory.avalerehealth.com\/wp-content\/uploads\/2021\/09\/23458-1-OwenAyers-400x600-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"600\" \/>\n\t<meta property=\"og:image:height\" content=\"400\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Leah Keller\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@avalerehealth\" \/>\n<meta name=\"twitter:site\" content=\"@avalerehealth\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Leah Keller\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Site of Care Optimization Offers Savings for Specialty Services | Avalere Health Advisory","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services","og_locale":"en_US","og_type":"article","og_title":"Site of Care Optimization Offers Savings for Specialty Services | Avalere Health Advisory","og_description":"In the current environment of rising healthcare costs, ongoing reimbursement pressure, and continued physician employment and provider consolidation, providers must reconsider how to effectively and affordably offer care to patients. Services that may be provided across multiple sites of care (SOCs), such as procedures and imaging, offer a strong opportunity to increase efficiency, improve quality,…","og_url":"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services","og_site_name":"Avalere Health Advisory","article_published_time":"2025-04-23T19:53:50+00:00","article_modified_time":"2025-05-08T15:20:13+00:00","og_image":[{"width":600,"height":400,"url":"https:\/\/advisory.avalerehealth.com\/wp-content\/uploads\/2021\/09\/23458-1-OwenAyers-400x600-1.jpg","type":"image\/jpeg"}],"author":"Leah Keller","twitter_card":"summary_large_image","twitter_creator":"@avalerehealth","twitter_site":"@avalerehealth","twitter_misc":{"Written by":"Leah Keller","Est. reading time":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services#article","isPartOf":{"@id":"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services"},"author":{"name":"Leah Keller","@id":"https:\/\/advisory.avalerehealth.com\/#\/schema\/person\/fb195190cdd6a0c7c2cc890515dd95f4"},"headline":"Site of Care Optimization Offers Savings for Specialty Services","datePublished":"2025-04-23T19:53:50+00:00","dateModified":"2025-05-08T15:20:13+00:00","mainEntityOfPage":{"@id":"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services"},"wordCount":1296,"commentCount":0,"publisher":{"@id":"https:\/\/advisory.avalerehealth.com\/#organization"},"image":{"@id":"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services#primaryimage"},"thumbnailUrl":"https:\/\/advisory.avalerehealth.com\/wp-content\/uploads\/2021\/09\/23458-1-OwenAyers-400x600-1.jpg","articleSection":["Insights & Analysis"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services#respond"]}]},{"@type":"WebPage","@id":"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services","url":"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services","name":"Site of Care Optimization Offers Savings for Specialty Services | Avalere Health Advisory","isPartOf":{"@id":"https:\/\/advisory.avalerehealth.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services#primaryimage"},"image":{"@id":"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services#primaryimage"},"thumbnailUrl":"https:\/\/advisory.avalerehealth.com\/wp-content\/uploads\/2021\/09\/23458-1-OwenAyers-400x600-1.jpg","datePublished":"2025-04-23T19:53:50+00:00","dateModified":"2025-05-08T15:20:13+00:00","breadcrumb":{"@id":"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services#primaryimage","url":"https:\/\/advisory.avalerehealth.com\/wp-content\/uploads\/2021\/09\/23458-1-OwenAyers-400x600-1.jpg","contentUrl":"https:\/\/advisory.avalerehealth.com\/wp-content\/uploads\/2021\/09\/23458-1-OwenAyers-400x600-1.jpg","width":600,"height":400,"caption":"Owen Ayers"},{"@type":"BreadcrumbList","@id":"https:\/\/advisory.avalerehealth.com\/insights\/site-of-care-optimization-offers-savings-for-specialty-services#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/advisory.avalerehealth.com\/"},{"@type":"ListItem","position":2,"name":"Site of Care Optimization Offers Savings for Specialty Services"}]},{"@type":"WebSite","@id":"https:\/\/advisory.avalerehealth.com\/#website","url":"https:\/\/advisory.avalerehealth.com\/","name":"Avalere Health Advisory","description":"","publisher":{"@id":"https:\/\/advisory.avalerehealth.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/advisory.avalerehealth.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/advisory.avalerehealth.com\/#organization","name":"Avalere Health","url":"https:\/\/advisory.avalerehealth.com\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/advisory.avalerehealth.com\/#\/schema\/logo\/image\/","url":"https:\/\/advisory.avalerehealth.com\/wp-content\/uploads\/2025\/03\/avalere-health-logo-cropped-white_1x.webp","contentUrl":"https:\/\/advisory.avalerehealth.com\/wp-content\/uploads\/2025\/03\/avalere-health-logo-cropped-white_1x.webp","width":433,"height":47,"caption":"Avalere Health"},"image":{"@id":"https:\/\/advisory.avalerehealth.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/x.com\/avalerehealth"]},{"@type":"Person","@id":"https:\/\/advisory.avalerehealth.com\/#\/schema\/person\/fb195190cdd6a0c7c2cc890515dd95f4","name":"Leah Keller","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/advisory.avalerehealth.com\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/4a87f9cf63da84fab5720429686278df?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/4a87f9cf63da84fab5720429686278df?s=96&d=mm&r=g","caption":"Leah Keller"},"description":"Leah Keller co-manages and edits the Policy 360 Research Series sits on Avalere\u2019s Marketing Team. Prior to joining Avalere, Leah conducted policy research and analysis on federal healthcare issues such as Medicaid coverage and payment, commercial insurance coverage and access, healthcare reform, and ACA implementation at the Guttmacher Institute, a thinktank focused on advancing reproductive health and rights. Prior, Leah coordinated data collection, analysis, and publications for George Washington University\u2019s Center for Social Well-Being and Development. Leah holds an MPH in maternal and child health from George Washington University and a BA in anthropology from St. Mary\u2019s College of Maryland.","url":"https:\/\/advisory.avalerehealth.com\/author\/lkelleravalere-com"}]}},"_links":{"self":[{"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/posts\/34349","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/comments?post=34349"}],"version-history":[{"count":15,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/posts\/34349\/revisions"}],"predecessor-version":[{"id":34457,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/posts\/34349\/revisions\/34457"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/media\/23459"}],"wp:attachment":[{"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/media?parent=34349"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/categories?post=34349"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/tags?post=34349"},{"taxonomy":"content-categories","embeddable":true,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/content-categories?post=34349"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}