CMS releases final Medicare payment rule for ASCs, HOPDs
Editor's Note The Centers for Medicare and Medicaid Services (CMS), on November 2, released its 2022 final payment rule for ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). The final rule increases Medicare prospective payment system rates by a net 2.0%—a combination of a 2.7% inflation update based on…
CMS penalizes nearly half of all hospitals for high readmission rates
Editor's Note In FY 2022, the Centers for Medicare and Medicaid Services (CMS) will penalize 2,499 (47%) hospitals for excessive patient readmissions, the October 28 Kaiser Health News reports. In its 10th year of the Hospital Readmissions Reduction Program, CMS will cut payments to the penalized hospitals by as much…
The Joint Commission using hybrid survey for document review
Editor's Note The Joint Commission, on October 6, announced that it has begun using a hybrid approach with a document review surveyor during deemed hospital re-accreditation surveys meeting eligibility criteria, primarily a fully electronic health record (EHR). The hybrid approach consists of a surveyor working remotely (via Zoom or Microsoft…
Changes in hospital-acquired conditions, mortality after HACRP
Editor's Note In this study, researchers from the University of Michigan, Ann Arbor, find that hospital-acquired conditions (HACs) targeted by the Centers for Medicare and Medicaid Services (CMS) Hospital-Acquired Condition Reduction Program (HACRP) declined after the program was announced, but 30-day mortality was unchanged. The analysis included 8,857,877 Medicare beneficiaries…
Effect of interruptions in Medicare patient treatment during COVID-19 on physicians, practices
Editor's Note This study from the University of Minnesota School of Public Health, Minneapolis, and Harvard Medical School, Boston, finds that practice interruptions in the treatment of Medicare patients spiked in April 2020, and interruption-without-return rates were larger for older physicians. In this analysis of 547,849 physicians billing Medicare: Practice…
Widening of racial, socioeconomic healthcare gap for organ transplant patients during COVID-19
Editor's Note This study led by researchers at the University of Texas Southwestern Medical Center, Dallas, finds that although COVID-19’s effect on access to liver transplantation has been all-pervasive, minorities have been disproportionately affected—especially those with public insurance. During the initial wave of COVID-19, organ transplantation was classified as a…
Maintaining a productive OR as cases shift to ASCs
The migration of surgical procedures from hospital ORs to hospital-owned ambulatory surgery centers (ASCs) is picking up speed. According to a recent survey, three-quarters of larger hospitals now have an ownership stake in more than one ASC. Two-thirds of US health systems are currently planning to increase their ASC investment.…
Medicaid expansion reduces uninsured surgical hospitalizations, financial burden
Editor's Note This study from Duke University Medical Center, Durham, North Carolina, finds that Medicaid expansion was associated with a reduction in uninsured surgical hospitalizations. Researchers analyzed state-level data across 44 states and patient-level data across four states, and they compared hospitalizations in expansion and non-expansion states. Uninsured surgery patients…
CMS issues IPPS final rule for FY 2022
Editor's Note The Centers for Medicare and Medicaid Services (CMS) on August 2 issued its final Inpatient Prospective Payment System (IPPS) rule for FY 2022. The final rule: increases Medicare payment rates by a net 2.5%, compared to FY 2021, for hospitals that are meaningful users of electronic health records…
ACS strongly opposes Medicare cuts to surgical patient care
Editor's Note In a July 14 news release, the American College of Surgeons (ACS) said the proposed Medicare physician fee schedule for CY 2022 poses a threat to surgical patient care. The proposed rule from the Centers for Medicare & Medicaid Services (CMS) maintains cuts to surgical care that Congress…
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