The number of procedures taking place in outpatient surgery centers — where people go under the knife and return home the same day — is expected to rise from 23 million in 2018 to 27 million in 2021, according to estimates from consulting firm Bain & Co.

Why it matters: Surgeries in freestanding centers cost less than those that happen in hospital outpatient departments, which is why many insurers and policymakers are pushing for this shift.

The big picture: But that doesn't mean it's an unprofitable niche. Surgery centers would generate $43 billion worth of procedures if those estimates hold up.

Between the lines: Medicare has made it clear it will pay for more surgeries, especially orthopedic procedures like joint replacements, outside of the hospital. Industry giants have been placing their bets on these facilities for years.

  • Health insurers: UnitedHealth Group bought Surgical Care Affiliates for $2.3 billion in 2017.
  • Hospitals: Tenet Healthcare and HCA Healthcare each own more than 120 surgery centers, and many not-for-profit hospitals own stakes in their local surgery centers.
  • Private equity firms: Bain Capital, the PE arm that was spun out of Bain & Co., owns two-thirds of Surgery Partners, a surgery center chain that's on pace to collect $1.7 billion of revenue this year.

Go deeper: Health care sees dollar signs in surgery centers

Go deeper

Trump's Tucker mind-meld

Photo illustration: Sarah Grillo/Axios. Photo: Roy Rochlin/Getty Images and BRENDAN SMIALOWSKI/AFP via Getty Images

If you want to understand the rhetorical roots of Trump's Independence Day speech at Mount Rushmore, go back and watch Tucker Carlson's monologues for the past six weeks.

Between the lines: Trump — or rather his speechwriter Stephen Miller — framed the president's opposition to the Black Lives Matter protest movement using the same imagery Carlson has been laying out night after night on Fox.

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Global: Total confirmed cases as of 6 p.m. ET: 11,366,145 — Total deaths: 532,644 — Total recoveries — 6,154,138Map.
  2. U.S.: Total confirmed cases as of 6 p.m. ET: 2,874,396 — Total deaths: 129,870 — Total recoveries: 906,763 — Total tested: 35,512,916Map.
  3. States: Photos of America's pandemic July 4 ICU beds in Arizona hot spot near capacity — Houston mayor warns about hospitals
  4. Public health: U.S. coronavirus infections hit record highs for 3 straight days.
  5. Politics: Former Trump official Tom Bossert says face masks “are not enough”
  6. World: Mexican leaders call for tighter border control as infections rise in U.S.
  7. Sports: Sports return stalked by coronavirus
  8. 1 📽 thing: Drive-in movie theaters are making a comeback.

Bolton's hidden aftershocks

Photo illustration: Sarah Grillo/Axios. Photo: Justin Sullivan/Getty Images

The news media has largely moved on, but foreign government officials remain fixated on John Bolton's memoir, "The Room Where It Happened."

Why it matters: Bolton's detailed inside-the-Oval revelations have raised the blood pressure of allies who were already stressed about President Trump's unreliability.