Editor's Note The Centers for Medicare & Medicaid Services, on April 26, announced updates to the enforcement process for its hospital price transparency rule. CMS will now automatically impose a civil monetary penalty if hospitals do not submit a corrective action plan on time or complete it within 45 days.…

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Editor's Note At ACC.23 (the American College of Cardiology 2023 conference), Sunil Rao, MD, director of interventional cardiology at NYU Langone and president of the Society of Cardiovascular Angiography and Interventions (SCAI), spoke about the shift in interventional procedures from hospitals to ambulatory surgical centers (ASCs), Cardiovascular Business April 10…

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Editor's Note The Centers for Medicare and Medicaid Services (CMS), on April 10, released its fiscal year (FY) 2024 Medicare inpatient prospective payment system (IPPS) proposed rule, which would increase Medicare payments by 2.8% for hospitals that are meaningful users of electronic health records and submit quality data. The 2.8%…

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Editor's Note This study led by researchers from the Centers for Medicare and Medicaid Services and Centers for Disease Control and Prevention finds that federal actions taken to expand telehealth use for Medicare patients with opioid use disorder (OUD) and to facilitate provision of medications for OUD (MOUD) were associated…

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Editor's Note This German study finds that expectations and prior experiences were associated with increased adverse effect reports in individuals receiving their second COVID-19 vaccinations. Researchers collected data from 1,678 individuals receiving Pfizer BioNTech and Moderna mRNA vaccines. Severe adverse effect reports were higher in those: expecting a lower benefit…

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Editor's Note The Joint Commission, on March 22, announced that it is seeking input to a survey on the implementation and utilization of electronic clinical quality measures (eCQMs) to better assess the impact of prospective changes to data submission practices. This applies, in particular, to a healthcare organization’s readiness in…

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Editor's Note This study led by researchers at the VA Greater Los Angeles Healthcare System and David Geffen School of Medicine at UCLA, Los Angeles, finds that postoperative mortality was higher in Black men than Black women, White men, and White women. A total of 1,868,036 Black and White Medicare…

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Editor's Note This study from the University of Michigan, Ann Arbor, finds that network facilities had higher negotiated prices for surgical procedures, and there is wide variability across facilities in and out of hospital networks. A total of 3,195 hospitals were included in the analysis. Among the findings: For 15…

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The Centers for Medicare and Medicaid Services (CMS) develops conditions of participation (CoPs) and Conditions for Coverage (CfCs) that healthcare organizations must meet in order to participate in Medicare and Medicaid programs. Payers, including government payers, require facility certification or accreditation for reimbursement. “Reimbursement is the critical piece,” says Becky…

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Editor's Note The Joint Commission announced on December 21 that they are eliminating 168 standards (14%) and revising 14 other standards across its accreditation programs in the new year. The Joint Commission additionally announced that it will not raise accreditation fees for domestic hospitals in the coming year due the…

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