CMS final rule for CY 2025: Key updates impacting Medicare payments, quality programs
Editor's Note The Centers for Medicare & Medicaid Services (CMS) issued its final rule for the 2025 calendar year, updating payment systems and quality reporting requirements across healthcare settings, JD Supra November 19 reports. Effective January 1, 2025, the rule outlines significant changes to Medicare payments and conditions for participation…
The anesthesia staffing crisis: How we got here, what hospitals can do
Takeaways • Documentation and coding procedures are rife with opportunity for cost savings. • Passed in 2022, the No Surprises Act is designed to protect insured patients from surprise billing for emergency services from out-of-network providers. However, the result has been nearly 40% cuts in reimbursements to anesthesiologists. • OR…
GAO urges HHS to strengthen cybersecurity oversight
Editor's Note A November 13 report from The Government Accountability Office (GAO) identifies critical gaps in the Department of Health and Human Services' (HHS) ability to manage cybersecurity risks in the healthcare and public health sector. HHS, the lead federal agency for cybersecurity in this sector, faces challenges in monitoring…
Outpatient, ASC clinicians share perspectives on upcoming NOPAIN Act implementation
Editor's Note On October 14, Anesthesiology News published a monograph featuring clinical perspectives on how “those working in the trenches of postsurgical pain management” are preparing for the Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act, which outlines new, separate Medicare reimbursement for certain non-opioid analgesics in outpatient and ambulatory…
CMS proposes $2 Drug List Model to reduce out-of-pocket costs for Medicare recipients
Editor's Note CMS has taken the next steps in making prescription drugs more affordable for Medicare recipients, according to an October 9 report from The US Department of Health and Human Services (HHS). The proposed Medicare $2 Drug List Model, developed in line with President Biden’s Executive Order 14087, aims…
Deadline looms for CMS patient safety reporting requirements
Editor's Note Starting October 1, US hospitals participating in Medicare's Inpatient Quality Reporting Program will need to report adherence to 25 patient safety best practices, as mandated by the Centers for Medicare & Medicaid Services (CMS). According to a September 4 report from the Association of Health Care Journalists, the…
CMS calls for demonstrations of AI technology in healthcare
Editor's Note Aligning with a recent executive order promoting safe and effective use of artificial intelligence (AI) in healthcare, the Centers for Medicare & Medicaid Services (CMS) is seeking input on what providers and others are doing with the technology. Issued September 9, the Request for Information (RFI) invites healthcare…
CMS expands social determinants of health screening to outpatient settings
Editor's Note The Centers for Medicare & Medicaid Services (CMS) is expanding its social determinants of health (SDoH) initiatives to include outpatient settings, starting with voluntary reporting in 2025 and moving to mandatory reporting in 2026, MedLearn Publishing August 26 reports. This expansion aims to address gaps in care by…
Study shows safety, effectiveness of cardiac electrophysiology procedures in ASCs
Editor's Note This new multicenter study published by the Heart Rhythm Society on August 5 found that ambulatory surgery centers (ASCs) offer a safe and effective setting for performing various cardiac electrophysiology procedures, including catheter ablation (CA). The research, which retrospectively analyzed 4,037 procedures, highlights the viability of ASCs as…
CMS hospital ratings show performance decline in 2024
Editor's Note Hospital performance declined this year compared to last, with more than 60% earning three stars or less in 2024 hospital star ratings from The Centers for Medicare and Medicaid Services (CMS). “This decline might be partly due to the data covering the period from April 2019 to March…
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