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January 2025
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Hospital bottom lines recover in Q1

Hospital finances rebounded in the first quarter of 2009, according to one source. Thomson Reuters data reported in August 2009 found total margins were up. About 30% of hospitals were in the red, which though still bad, was a big improvement from 50% in the third quarter of 2008. The…

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By: OR Manager
October 1, 2009
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90-day guarantee: Warranties as a tool for improved patient outcomes

Everything from washers to cars comes with a warranty, so why not health care? Geisinger Health System in Danville, Pennsylvania, introduced health care warranties with an innovative program called ProvenCare. Under the 90-day warranty, one cost covers the surgery and 90 days of follow-up treatment. Geisinger absorbs any additional costs…

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By: Cynthia Saver, RN, MS
July 1, 2009
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Economy hits hospitals hard, but impact on surgery still emerging

The economy is hitting hospitals hard. For elective surgery, the picture is only starting to emerge. Hospitals' median total margins shrank to near zero in the third quarter of 2008—an unprecedented low, according to a Thomson Reuters analysis of data from 439 hospitals. This was primarily because of a drop…

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By: Pat Patterson
April 1, 2009
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Tips for taming the OR chargemaster

Second of a 2-part article. The OR consumes the most expensive and often the highest volume of supplies in the hospital. OR managers want to make sure their chargemasters are up to date so patient bills will accurately reflect services provided. They also want to make sure they are complying…

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By: OR Manager
April 1, 2009
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Where to look for supply savings

Physician preference savings opportunities Price improvement: 5% to 10% Standardization (fewer companies or brands): 20% to 25% Utilization (changing consumption behavior): 65% to 75% Source: Wellspring Partners. As one of the hospital's biggest revenue and cost centers, ORs are a big target for expense reduction in these tough economic times.…

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By: OR Manager
April 1, 2009
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Nothing off the table' for supply chain

There's no question health care is sharing the nation's economic woes. Hospitals and other facilities face shrinking revenue, tighter credit, and ever-rising costs. "The economy is a huge problem, but for supply chain professionals, it could be the opportunity of a lifetime," says Jamie C. Kowalski, MBA, FACHE, FAAHC, FAHRMM,…

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By: OR Manager
March 1, 2009
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Top strategies for juggling quality, cost of physician preference items

Managing the costs of procedures with implants continues to be a juggling act for OR directors and business managers. Total joint replacements, once profitable, have seen prices climb while Medicare reimbursement slides. Some spinal procedures still have a positive margin because the surgery is more often performed in younger patients…

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By: OR Manager
January 1, 2009
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Meeting challenges for spine costs

Spinal surgery is a costly specialty that strains OR budgets. The wide variation in techniques and costly technology make it difficult to manage. Challenges go beyond rods and screws. An array of biologics, such as bone morphogenic protein (BMP) and demineralized bone matrix (DBM) can add thousands of dollars to…

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By: Pat Patterson
January 1, 2009
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OR leaders bracing for more cost pressures with economic downturn

With no bailout in sight, health care needs to invent its own version of the hybrid car—become more efficient and cost-effective—to survive the economic downturn, one consultant quips. The times will challenge OR leaders to do even more to reduce costs and streamline operations. "We will all need to pitch…

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By: Pat Patterson
January 1, 2009
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Tough times force look at supply costs

Health care facilities like other businesses face tough economic headwinds. Tightening credit, plummeting investment values, and the prospect of less philanthropic giving make for a difficult financial climate. There's also likely to be more uncompensated care as unemployment rises, and state Medicaid programs cut back. OR directors and business managers,…

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By: OR Manager
December 1, 2008
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