Editor's Note Private payers initially deny reimbursement on 15% of claims, only to later approve more than half of those initial denials, according to a national survey of healthcare institutions published March 21 by Premiere, Inc. Additionally, the denied claims on average tend to be more prevalent for higher-cost treatments…

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Editor's Note Reducing surgeon manipulation of electronic health record (EHR) OR scheduling systems can improve efficiency, save resources, and enhance service to patients, according to data published in the March/April issue of the Journal of Healthcare Management. Although predictive models using EHR and machine learning improve accuracy compared to traditional…

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Editor's Note A paper published March 29 in the journal Bioengineering examines the growing integration of artificial intelligence (AI) into hospital and healthcare systems and the way in which it is augmenting clinical decision-making, optimizing hospital operation and management, improving medical image analysis, and transforming patient care and monitoring through…

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Editor's Note Data collected from more than 1,300 hospitals nationwide for Kaufman Hall’s National Hospital Flash Report shows strong margins—averaging 3.9% in February—but does not account for significant, near-term headwinds, according to a March 28 article from HealthLeaders. Revenue growth is primarily from outpatient care, and inpatient revenue continues to…

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Editor's Note Older Americans are at heightened risk for both short-term and long-term hospital readmission following major surgery, according to a study from Yale University published February 28 in Jama Network Open.   Readmission places a major financial strain on health systems, researchers write, pointing out that the total cost…

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Editor's Note According to a March 11 research letter published by JAMA Internal Medicine, most physicians have a negative view of private equity’s growing involvement in healthcare. The findings mostly come from a January 2023 survey of 525 medical doctors conducted by the American College of Physicians (ACP). Some highlights…

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Editor's Note Although the use of propofol for colonoscopy has been rising due to beliefs that deep sedation leads to greater patient comfort, a recent systematic review and meta-analysis of nearly 1,500 patients from nine randomized controlled trials shows this view is not supported by available evidence. Published March 8…

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This past February, the OR Business Management Conference, held in Phoenix, Arizona, brought together business managers of all walks of life. The intimate event was once again a symbiotic blend between financial- and business-centric education and high-quality networking. The education offered for seasoned and new business leaders alike, perhaps more…

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Takeaways OR leaders have experienced financial gains over the past 9 years, but not enough to keep up with inflation in recent years. Capital and operating budget responsibilities have increased over the past 6 years. Since 2015, OR leaders have consistently been most satisfied with their current job, but much…

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What if a surgeon decided to perform a procedure on a patient that was not totally necessary? It happens more often that one might realize. As recently as August 2023, Forbes published an article that cited a Harvard Business Review report stating that over 50% of lumbar spine surgeries are…

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