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November 2025

Analytics firm shares data and insight about shrinkage of inpatient-only list

CMS’ pending elimination of the inpatient-only (IPO) list of surgeries is often framed as a breakthrough for ASCs, which will gain volume; payors, who will pay less; and patients, who will enjoy greater access to care. But there’s a correspondingly negative impact that isn’t discussed as much: inpatient hospitals, many…

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By: Joe Paone
January 29, 2026
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Duluth, Minn., legislators call on hospitals to 'establish protections' for patients and staff against ICE

National attention has been focused on Minneapolis, where federal immigration agents and the local community have been at odds. But there has been trouble about 150 miles north in the city of Duluth, Minn., as well. This week, the local delegation of state legislators from the state’s dominant Democratic-Farmer-Labor (DFL)…

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By: Joe Paone
January 29, 2026
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City shuts off Georgia hospital’s water supply due to unpaid bills

WALB-TV reports that the city of Ocilla, Ga., cut off water services to Irwin County Hospital on Monday over an unpaid water bill totaling over $20,000, according to local officials. The TV station reports that, according to a hospital official, city workers entered the property and turned off a valve, with hospital…

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By: Joe Paone
January 28, 2026
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Indiana Hospital Association warns of members’ mounting financial difficulties, calls for legislative action

A new analysis prepared by healthcare consulting firm Kaufman Hall for the Indiana Hospital Association (IHA) details a worsening financial outlook for the state’s hospitals, with the association calling for help from legislators. IHA says the analysis shows “margins remain below national averages,” and quoted numerous hospital leaders who warn that…

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By: Joe Paone
January 28, 2026
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Toronto clinic looks to prevent delirium in high-risk patients

If you’re looking for a model to handle the devastating but all-too-common complication of postoperative neurocognitive disorders (P-NCD, popularly known as delirium) experienced by your patients, some friends to our north have created a program that might be of interest. Toronto’s Sunnybrook Health Sciences Centre this month welcomed the first…

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By: Joe Paone
January 28, 2026
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OBL-centered perspective on the 2026 ASC Final Payment Rule

Law firm Reed Smith has taken a deep dive into a complex business and regulatory issue: the relationship and competition between office-based labs (OBLs) and traditional ambulatory surgery centers (ASCs), and the changes to that dynamic presented by CMS' 2026 Final Rule for ASCs. “The landscape for [OBLs] continues to…

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By: Joe Paone
January 27, 2026
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ASCA's Kara Newbury breaks down 2026 CMS Final Rule, discusses 2027 initiatives

Kara Newbury, JD, chief advocacy officer of the Ambulatory Surgery Center Association (ASCA), recently spent some time with OR Manager to discuss the impact of CMS’ 2026 Final Payment Rule, as well as how ASCA is working with both regulators and legislators to achieve even more gains for the ASC…

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By: Joe Paone
January 27, 2026
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Analysis: Hospital credit rating activity ‘moderates’ in 2025

Healthcare consulting firm Kaufman Hall reports that hospital credit rating downgrades declined in 2025 while the number of upgrades increased, representing a tempering of downgrade activity in recent years. It says growing volumes, increased supplemental funding and improved labor and expense management “contributed to improved financial performance for many borrowers.”…

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By: Joe Paone
January 26, 2026
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Survey finds use of unauthorized ‘shadow AI’ tools running rampant in health care

A new survey of healthcare professionals and administrators found that unauthorized artificial intelligence (AI) tools and apps are in wide use across hospitals and health systems in the U.S., including for direct patient care. Wolters Kluwer Health, which conducted the survey, calls these unauthorized tools “shadow AI,” and says their…

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By: Joe Paone
January 26, 2026
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Stay Connected: Important Updates to Our Emails

As part of OR Manager's rebrand to Periop Leader Network next month, we’ve refreshed how our content looks, feels, and reaches you—while staying true to our mission of supporting perioperative leaders through shared solutions and practical insight. These updates include a new sending email address and refreshed names and delivery…

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By: Lindsay Botts, MA
January 23, 2026
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