Costs & Cost Controls

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January 2025
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Medicare drug price negotiations to save $6 billion in first year

Editor's Note Medicare’s first negotiations on 10 top-selling prescription drugs for older Americans will save the US government $6 billion in the first year, according to an August 15 article in Reuters. Enabled by President Joe Biden’s 2022 Inflation Reduction Act, negotiations for drugs used by Medicare—which covers 66 million…

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By: Matt Danford
August 15, 2024
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Cash flow problems plague US nonprofit hospitals, health systems

Editor's Note A new low for median days cash-on hand could spell trouble for US nonprofit hospitals and health systems, Healthcare Dive reported August 12. “Nonprofit hospitals’ cash on hand — the funds immediately available to finance daily operations — is one indicator of financial health,” the outlet reports. “Low cash…

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By: Matt Danford
August 14, 2024
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Vertical integration favors HOPDs over ASCs

Editor's Note Medicare and patient out-of-pocket costs are rising as vertical integration results in more procedures moving to hospital outpatient departments (HOPDs) than to ambulatory surgical centers (ASCs), Becker’s ASC Review reported on August 8. The article summarizes a study published July 25 in Science Direct. Described as "physician vertical…

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By: Matt Danford
August 14, 2024
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2025 IPPS payment rule criticized

Editor's Note The American Hospital Association (AHA) criticized new inpatient prospective payment system rates issued August 1 by the Centers for Medicare and Medicaid Services (CMS), citing the potential of financial struggles for hospitals and reduced access for patients, particularly in rural or underserved areas. Under the new rule, most…

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By: Matt Danford
August 6, 2024
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Healthcare pays dearly for data breaches

Editor's Note Responding to and recovering from data breaches in healthcare is more expensive than any other industry, according to a report by IBM and the Ponemon Institute. Healthcare Dive reported on the results August 1. According to that article, the $9.8 million average cost for a breach this year…

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By: Matt Danford
August 5, 2024
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Study highlights asset depletion in hospitals acquired by private equity

Editor's Note Acquisition by private equity firms leaves healthcare facilities less equipped to care for patients, according to a recent study published in JAMA. NBC reported the news July 31. Conducted by researchers from the University of California at San Francisco, Harvard Medical School, and Hunter College, this nationwide study…

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By: Matt Danford
August 2, 2024
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"Tweener" hospitals eye financial relief after Supreme Court ruling

Editor's Note The Supreme Court’s recent “Chevron” ruling could offer additional financial security to hundreds of so-called "tweener" rural hospitals—those too large to be considered critical access hospitals but too small to be rural referral centers. Modern Healthcare reported the news July 29. According to the article, critical access hospitals,…

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By: Matt Danford
August 1, 2024
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Survey: ASC volume rising amid limited staffing improvement

Data and surveys

Takeaways • Compared to 2023, the percentage of respondents reporting an increase in open positions for RNs and STs, as well as increased turnover for RNs, remained stable, but fewer reported a drop in ST turnover. • The percentage of respondents reporting hiring more managers set a 9-year record. •…

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By: Cynthia Saver, MS, RN
August 1, 2024
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Health systems learn lessons from CrowdStrike global IT outage

Editor's Note Hospitals and health systems have largely returned to normal operations in the wake of a global IT outage caused by a faulty update from cybersecurity company CrowdStrike, according to a July 29 article in Becker’s Health IT. The outage, which began July 18, resulted in many health systems'…

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By: Matt Danford
July 31, 2024
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Unpacking the impact of private investment on innovation, ASCs

One privilege of living at this time in history is the availability of choice, especially for health and surgical needs. Those who make healthcare their business understand this as well. According to Tanna et al, ambulatory surgery centers (ASCs) are spreading to rural areas, hospitals are creating hybrid outpatient surgery…

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By: Dr Rosemary Babeaux, DNP, RN, NE-BC, EBP (CH)
July 31, 2024
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