Costs & Cost Controls

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November 2024
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Effect of private insurer bundled payment program for total joints on outcomes

Editor's Note This multi-center study led by Humana Inc, Louisville, Kentucky, finds that a bundled payment program offered by a Medicare Advantage insurer for lower extremity joint replacements was associated with reduced spending without changes in quality. A total of 23,034 lower extremity joint replacement surgical episodes (6,355 bundled, 16,679…

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By: Judy Mathias
June 27, 2023
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Contract standardization for endo-mechanical supplies saves millions

Takeaways One of the lessons learned when it comes to data was to make sure you do it right the first time. A big drive for standardization was to leverage the distribution center to send excess inventory that some sites had to sites that needed them. Another drive was the…

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By: Judith M. Mathias, MA, BS, RN
June 21, 2023
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CMS: Healthcare spending to reach nearly $7.2 trillion by 2031

Editor's Note This study from the Centers for Medicare and Medicaid Services (CMS) Office of the Actuary (OACT) estimates that US healthcare spending will grow by 5.4% per year on average from 2022 to 2031, now that the COVID-19 public health emergency has ended. Rising from $4.4 to $7.17 trillion,…

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By: Judy Mathias
June 20, 2023
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Increases, decreases to periop travel nurse pay

Editor's Note As of June 1, there were 125,937 active RN travel jobs on the Vivian Health platform, a national healthcare hiring marketplace, the June 7 Becker’s Hospital Review reports. Perioperative specialties with the largest increases and decreases in average weekly travel nurse pay in May, compared to April, were:…

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By: Judy Mathias
June 7, 2023
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Value assessment of a trauma hybrid OR

Editor's Note This study from the University of Florida Health, Gainesville, examines the complications, cost-utility, and value of a dedicated trauma-endovascular hybrid OR. A total of 292 trauma patients, who underwent immediate operative intervention at a Level I trauma center (106 before construction of a hybrid OR and 186 after…

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By: Judy Mathias
May 26, 2023
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CMS updates enforcement process for hospital price transparency

Editor's Note The Centers for Medicare & Medicaid Services, on April 26, announced updates to the enforcement process for its hospital price transparency rule. CMS will now automatically impose a civil monetary penalty if hospitals do not submit a corrective action plan on time or complete it within 45 days.…

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By: Judy Mathias
April 27, 2023
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US pauses green card applications for foreign nurses

Editor's Note The US State Department will not accept any more applications for green cards for foreign nurses this year, and only applications that were submitted by June 2022 will be processed until the backlog eases, the April 24 Becker’s Clinical Leadership & Infection Control reports. Current green card processing…

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By: Judy Mathias
April 24, 2023
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Cardiac interventional procedures are shifting from hospitals to ASCs

Editor's Note At ACC.23 (the American College of Cardiology 2023 conference), Sunil Rao, MD, director of interventional cardiology at NYU Langone and president of the Society of Cardiovascular Angiography and Interventions (SCAI), spoke about the shift in interventional procedures from hospitals to ambulatory surgical centers (ASCs), Cardiovascular Business April 10…

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By: Tarsilla Moura
April 13, 2023
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CMS releases annual IPPS proposed rule for FY 2024

Editor's Note The Centers for Medicare and Medicaid Services (CMS), on April 10, released its fiscal year (FY) 2024 Medicare inpatient prospective payment system (IPPS) proposed rule, which would increase Medicare payments by 2.8% for hospitals that are meaningful users of electronic health records and submit quality data. The 2.8%…

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By: Judy Mathias
April 11, 2023
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Effect of percentage of overlapping surgery on patient outcomes

Editor's Note In this study, led by the University of Alabama at Birmingham, overlapping surgery was shown to reduce in-hospital mortality and to have similar patient safety indicators and readmission rates as nonoverlapping cases. Operative time was shown to increase with overlapping cases. A total of 87,426 cases were included…

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By: Judy Mathias
April 11, 2023
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