Costs & Cost Controls

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March 2025
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Fine print in supply contracts often holds keys to cost savings

When it comes to buying medical-surgical supplies, quality, safety, and physician comfort are foremost—but that doesn’t mean price is no object. Even though ambulatory surgery center (ASC) staff often lack materials management expertise, they can achieve cost savings in several ways, especially if they brush up on terms used in…

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By: Paula DeJohn
December 16, 2015
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ECRI Institute projects $80 billion spend on new drugs, devices

Editor's Note Annual spending on a group of new drug and device therapies may exceed $80 billion if they all make it to market, according to a new report by ECRI Institute. ECRI Institute analyzed the costs of 47 of 700 healthcare interventions with the potential for high impact that…

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By: Judy Mathias
December 3, 2015
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Cost-effectiveness of enhanced recovery for colorectal patients

Editor's Note Enhanced recovery pathways are cost-effective compared with conventional perioperative management of colorectal patients, this study finds. Of 180 patients analyzed, mean length of stay was shorter (6.5 vs 9.8 days), return to work was quicker, and there was less care giver burden in the enhanced recovery group. The…

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By: Judy Mathias
November 11, 2015
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Study: Healthcare costs plummet after bariatric surgery

Editor's Note Obese patients who had gastric bypass surgery cut their healthcare costs nearly 40% after 4 years and 80% if they had type 2 diabetes preoperatively, finds this study presented at Obesity Week 2015, which is hosted by the American Society for Metabolic and Bariatric Surgery. The main reduction…

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By: Judy Mathias
November 6, 2015
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Electronic tracking system reduces blood transfusions, infections

Editor's Note An electronic blood tracking system that monitors how physicians prescribe postoperative blood transfusions significantly reduced the amount of blood patients receive and cut infection rates in half, according to a study presented October 7 at the 2015 Clinical Congress of the American College of Surgeons in Chicago. The…

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By: Judy Mathias
October 9, 2015
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Achieving quality improvement depends on the local culture

The key to sustaining quality outcomes is promoting confidence and engagement of surgical teams, says Clifford Ko, MD, MS, MSHS, FACS, director of the National Surgical Quality Improvement Program and Division of Research and Optimal Patient Care, at the American College of Surgeons in Chicago. Dr Ko gave the keynote…

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By: Judy Mathias
October 8, 2015
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ASCs reduce spine surgery costs, maintain quality

Editor's Note A study presented at the Congress of Neurological Surgeons annual meeting found that performing spine procedures in ambulatory surgery centers (ASCs) can reduce costs while sustaining patient satisfaction scores, Spine Surgery Today reports. Of 1,000 spine procedures performed in an ASC, eight patients had to be transferred to…

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By: Judy Mathias
October 7, 2015
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GAO: Modest effects from Value-based Purchasing program

Editor's Note A new Government Accountability Office report shows that hospital performance on most quality measures was improving before the Affordable Care Act’s Hospital Value-based Purchasing (VBP) program began in 2012 and has not noticeably changed since then, according to the AHA News. Most inpatient prospective payment system hospitals eligible…

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By: Judy Mathias
October 5, 2015
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Designing and implementing bundled payment program for total hips

Editor's Note A bundled payment program for total hip replacement was associated with similar total costs, lower posthospital costs, shorter length of stay, and similar or higher quality hospital care, in this study. Compared to controls, bundled payment patients had similar length of stay (3.0 vs 3.4 days), higher rates…

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By: OR Manager
September 28, 2015
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Shared-savings program for surgical supplies decreases costs

Editor's Note Incentivizing surgeons to standardize surgical supplies led to dramatic cost savings in this study. A shared-savings program that returned 50% of money saved on surgical supplies to the surgery division realized a total cost-savings of $893,865. A total of $446,932 was shared with 15 surgery divisions. Quality of…

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By: Judy Mathias
September 23, 2015
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