Costs & Cost Controls

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January 2025
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Hospitals, health groups criticize CMS pay proposals

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Editor's Note Hospital groups are criticizing CMS' proposed 2.6% pay increase for 2025, deeming it insufficient for nonprofit hospitals with operating margins near or below zero, according to a July 11 article in Becker’s Hospital CFO Report. The American Hospital Association and America's Essential Hospitals argue the rise won't cover…

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By: Matt Danford
July 12, 2024
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US healthcare spending growth expected to outpace overall economic growth

Editor's Note Expected to grow at an average annual rate of 5.6%, US healthcare spending will outpace GDP growth—projected at 4.3%--and rise to $7.7 trillion by 2032, according to a June 28 report in ASC focus. The $7.7 trillion figure amounts to 19.7% of GDP. The report is sourced from…

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By: Matt Danford
July 8, 2024
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Study: Federal antitrust action minimal relative to number of hospital mergers

Editor's Note Federal regulation of hospital mergers is inadequate, according to an April antitrust enforcement study scheduled to be published by the American Economic Association. According to a June 14 report in Modern Healthcare, researchers at universities including Harvard and Yale analyzed insurance claims data from Aetna, Humana, and UnitedHealthcare,…

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By: Matt Danford
June 27, 2024
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Leadership survey: Operational demands overwhelming hospitals

Editor's Note Nearly half of hospital executives report that their hospitals are not fully prepared to cope with patient volumes, Becker’s Hospital Review reported June 13. Citing the June 12 Hospital Operations Outlook Survey from FTI Consulting, Becker’s reports that nursing and mental and behavior health specialists represent the greatest…

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By: Matt Danford
June 25, 2024
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Kidney transplant performed on awake patient

Editor's Note In a first for Northwestern Medicine, surgeons performed a kidney transplant on an awake patient, CBS News reported June 24. John Nicholas, 28, of Chicago, experienced no pain during the May 24 procedure, in which he received an organ from a childhood friend. He was discharged the next…

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By: Matt Danford
June 25, 2024
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Rural hospitals contend with challenging opportunities

Rural hospitals in the US have been facing a prolonged, multifaceted crisis. The literature presents several reasons for why healthcare facilities in rural areas struggle, including shrinking budgets, rising chronic illness and public health issues like addiction and obesity, poor telehealth and broadband access, aging populations, deteriorating mental health, and…

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By: David C. Walsh
June 24, 2024
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Scaling standards from sterile processing department to clinic

Reforming instrument reprocessing practices does not always end with the main sterile processing department (SPD). Holding clinics to the same standard adds to the challenge, whether they are associated with hospitals or operate independently. Nonetheless, standardization is just as essential to maintaining efficiency and quality standards. Establishing and maintaining best…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL and Vanessa Frank, CRCST, CHL, CER, CIS
June 24, 2024
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CMS to end Change Healthcare cyberattack assistance program

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has announced assistance for providers affected by the Change Healthcare cyberattack ends next month. According to the June 17 announcement, payments under the Accelerated and Advance Payment (AAP) Program for the Change Healthcare/Optum Payment Disruption (CHOPD) will end July 12,…

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By: Matt Danford
June 20, 2024
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Understanding bipartisan push for site-neutral Medicare payments aiming to curb healthcare costs, consolidation

Editor's Note Amid growing concerns over healthcare spending and affordability, there is bipartisan interest in aligning Medicare payments for outpatient services across various care settings through "site-neutral" payments, KFF June 14 reports. As a June 2023 Modern Healthcare article explains, last year Congress reviewed legislation to expand site-neutral payment policies,…

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By: Tarsilla Sampaio Moura
June 18, 2024
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US healthcare spending outpaces GDP, tracks toward $7.7 trillion by 2032

Editor's Note Growth in healthcare spending is outpacing nominal economic growth, Hospice News reported June 12. Citing a study from the Office of the Actuary (OACT) at the Centers for Medicare and Medicaid Services (CMS), the outlet reports that healthcare spending’s share of GDP is projected to rise from 17.6%…

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By: Matt Danford
June 13, 2024
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