Costs & Cost Controls

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November 2024
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Hackers use stolen identities, IT help desk to redirect hospital funds

Editor's Note:  In a sophisticated new scheme, hackers are stealing the identity of hospital employees in financial roles—such as revenue cycle employees—and then reaching out to the hospitals’ IT help desk in order to reset passwords, receive access codes, and redirect funds.  The American Hospital Association (AHA) sent out an…

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By: Brita Belli
January 26, 2024
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Lessons of Pennsylvania’s $8.1 billion COVID loss apply nationwide

Editor's Note:  Pennsylvania hospitals and health systems lost a total of $8.1 billion to COVID-19 between January 2020 and December 2022, HealthLeaders reported on January 18. In addition to illuminating the new data from The Pennsylvania Health Care Cost Containment Council and The Hospital and Healthsystem Association of Pennsylvania, the…

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By: Matt Danford
January 25, 2024
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Rural US hospitals experiencing labor, delivery crisis

Editor's Note: Rural communities are at serious risk due to hospitals’ increasing inability to offer labor and delivery services, according to a new report from the Center for Healthcare Quality & Payment Reform. Highlights include: More than half (55%) of rural hospitals in the U.S. do not offer labor and…

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By: Brita Belli
January 23, 2024
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CMS reforms prior authorization to improve care, streamline physician process

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has implemented a final rule reforming the prior authorization process, with the aim to reduce delays in patient care and boost electronic efficiency for physicians, the American Medical Association (AMA) News Wire reported January 23. The Department of Health and…

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By: Tarsilla Moura
January 23, 2024
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Supporting healthcare staff with on-demand staffing solutions

healthcare nurse staff

Healthcare systems worldwide, regardless of their size or market, are facing the same challenge: how to meet the growing demand for qualified staff without straining hospital budgets. According to a report by the American Hospital Association, health systems are experiencing a significant workforce turnover that began in 2016. On average,…

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By: Craig Allan Ahrens, MHA, MBA
January 23, 2024
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Coordinating surgical care means precise staff handoffs

In every OR, the complicated dance of surgical care coordination—the series of handoffs between stakeholders throughout the surgery lifecycle—is performed mainly in the background. Those stakeholders include physician offices, schedulers, preadmission testing, insurance verification, vendors, sterile processing, supply chain, anesthesia, and surgical staff. But what does it look like when…

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By: Carisa Brewster and Jonathan Reimer
January 23, 2024
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A look back: The business manager role in a changing healthcare environment

Data and surveys

Takeaways • Perioperative business managers can make significant contributions to a hospital’s financial health, but more than half of hospitals do not have this role. • Business managers’ earnings have increased in the past 5 years, while the number of direct reports has risen slightly. • The bachelor’s degree has…

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By: Cynthia Saver, MS, RN
January 23, 2024
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Hospitals report modest growth as pandemic recovery continues

Editor's Note:  Hospitals and health systems are reporting improved operating margins and increases in revenue as they continue their long recovery from the effects of the COVID-19 pandemic, according to a January 10 report from Chief Healthcare Executive. Citing the National Hospital Flash Report from Kaufman Hall, the article notes…

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By: Matt Danford
January 16, 2024
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KPMG forecasts hospital closures, healthcare and life sciences mergers

Editor's Note:  Investors see particular opportunity for mergers in healthcare and life sciences companies, Chief Healthcare Executive reported January 5. Citing the 2024 outlook of audit, tax, and advisory firm KPMG, the report notes that 61% of investors expect deal-making to increase in these sectors, while only 9% expect to…

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By: Matt Danford
January 12, 2024
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2024 limits set for non-monetary physician compensation

Editor's Note: Non-monetary compensation to physicians is limited to no more than $507 for calendar year 2024, according to a report on the federal Stark Law published December 27 in Lexology. The Stark Law applies to non-cash or cash-equivalent payments from hospitals, physician groups, labs and other provider entities. The…

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By: Matt Danford
January 10, 2024
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