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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Editor's Note A Government Accountability Office study finds that although extensive testing of transition to ICD-10 codes has been done, the Centers for Medicare & Medicaid Services (CMS) will not know the true functionality of the systems until code processing begins October 1, Becker’s Health IT & CIO Review reports.…

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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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Editor's Note As the Affordable Care Act continues to pass more costs to patients through higher deductibles and premiums, ambulatory surgery centers (ASCs) are positioning themselves as cost-effective and convenient alternatives to traditional hospitals, the September 17 Central Valley Business Journal reports. ASCs provide efficient, high-quality procedures, and discharge home…

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Editor's Note In this analysis of nearly 25,000 Medicare patients, mean total payments for bariatric surgical procedures varied from $11,000 to $13,000 per episode of care. The index hospitalization was responsible for 75% of total payments, followed by physician services (21%), and postacute care services (2.8%). As hospitals enter Medicare…

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Editor's Note Medical schools are beginning to teach students about healthcare costs and payment models as more patients enroll in high-deductible insurance plans and healthcare moves toward value-based care, according to a report by Kaiser Health News/KPCC/NPR. An Association of American Medical Colleges survey found that 129 of 140 responding…

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Editor's Note Consolidation of hospitals into massive chains threatens healthy competition, reduces patient choice, and could drive up costs, Martin A. Makary, MD, and other Johns Hopkins researchers say. In this commentary, they caution the Federal Trade Commission to be more vigilant when hospital systems seek approval to consolidate and…

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The interactive hybrid OR exhibit that debuted at the 2014 OR Manager Conference will once again be showcased in 2015. The exhibit, featuring an extensive array of products and equipment representing more than 10 companies, will be on display during the annual OR Manager Conference, October 7-9, at the Gaylord…

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Editor's Note Postoperative readmissions occurred in more than 1 in 10 patients, in this study, with considerable variation across specialties. The majority of variation was attributable to patient-related factors (82.8%); surgical specialty accounted for 14.5% of the variability, and individual surgeon factors accounted for 2.8%. After adjusting for patient and…

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Editor's Note The release of 2002 guidelines on preoperative testing by the American Society of Anesthesiologists, American College of Cardiology, and American Heart Association was associated with a reduction in routine ECG testing but not of x-rays, hematocrit, urinalysis, or cardiac stress testing, in this study. Because routine preoperative testing…

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