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January 2025
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CMS releases proposed Medicare payment rates for outpatient, ASC services

Editor's Note On July 10, CMS proposed Medicare payment rates for hospital outpatient and ambulatory surgery center (ASC) services for 2025.  Published annually, the Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System Proposed Rule will have a 60-day comment period, which this year ends September 9 prior to…

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By: Matt Danford
July 10, 2024
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FDA announces Class 1 recalls for upper airway stimulation system, MRI components

Editor's Note A manufacturing defect in a critical component of an upper airway stimulation (UAS) system and coils prone to overheating during magnetic resonance imaging scans (MRIs) prompted The US Food & Drug administration to issue two Class 1 recalls June 8. Class 1 is the most severe category, indicating…

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By: Matt Danford
July 10, 2024
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UnitedHealth has ‘quietly’ bought several outpatient surgery centers

Editor's Note UnitedHealth Group acquired dozens of outpatient facilities, particularly surgery centers, in 2023, often without public announcements, STAT March 11 reports. This builds on their network of about 90,000 physicians. Many new centers are in areas where UnitedHealth dominates the Medicare Advantage market. A major acquisition was National Cardiovascular…

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By: Tarsilla Moura
July 10, 2024
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Changes in ASC ownership: A look at the influencing factors

Editor's Note As aging ambulatory surgery center (ASC) physician-owners retire, many ASCs are struggling with succession plans, Outpatient Surgery Magazine May 1 reports. Per the article, younger surgeons often lack the capital to establish freestanding ASCs, and with tight margins in the ASC market, a capital infusion is often needed.…

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By: Tarsilla Moura
July 10, 2024
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Healthcare industry groups criticize federal cybersecurity reporting rule

Editor's Note Healthcare industry groups are calling for the federal government to streamline and ease the recently proposed cybersecurity incident reporting rule by the Cybersecurity and Infrastructure Security Agency (CISA), Fierce Healthcare reported July 8. According to the report, CISA's proposal imposes enhanced reporting requirements for critical infrastructure entities, including…

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By: Matt Danford
July 9, 2024
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Healthcare employment up in June

Healthcare employment in the US rose by 49,000 from June to July, according to the latest report from the Bureau of Labor Statistics, released on July 5. That is compared to an overall monthly gain of 206,000 in June. In June, healthcare employment also trended up in: ambulatory healthcare services…

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By: Matt Danford
July 8, 2024
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Justice Department announces nationwide action on healthcare fraud enforcement

Editor's Note On June 27, The Justice Department announced the 2024 National Health Care Fraud Enforcement Action, leading to criminal charges against 193 defendants, including 76 medical professionals across 32 federal districts in the U.S. for their involvement in various health care fraud schemes. These schemes accounted for approximately $2.75…

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By: Matt Danford
July 3, 2024
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New requirements for ASCs on life safety, patient rights effective August

Editor's Note Starting August 1, ambulatory surgical centers (ASCs) will need to comply with new and revised requirements for Life Safety Code® and patient rights, a June 26 news update from The Joint Commission reports. These updates align with the Centers for Medicare & Medicaid Services (CMS) Conditions for Coverage.…

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By: Tarsilla Moura
July 3, 2024
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Supreme Court decision could lead to legal challenges to payments, risks to healthcare regulation

Editor's Note Food and Drug Administration (FDA) regulations are at risk, and legal challenges to Medicare payments are likely to rise following the Supreme Court’s overturning of the 40-year-old legal precedent Chevron deference, according to a June 28 report in Becker’s Hospital Review. "Chevron deference is the principle that when…

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By: Matt Danford
July 2, 2024
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Vasectomies, tubal ligations rise after Supreme Court actions

Editor's Note New research highlights sharp, nationwide increases in both male and female sterilization procedures since the Supreme Court overturned landmark decision Roe vs. Wade in 2022. Published in JAMA Health Forum, the research on how many 18- to 30-year-olds were getting sterilized before and after the ruling was the…

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By: Matt Danford
July 2, 2024
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