Study: Federal antitrust action minimal relative to number of hospital mergers
Editor's Note Federal regulation of hospital mergers is inadequate, according to an April antitrust enforcement study scheduled to be published by the American Economic Association. According to a June 14 report in Modern Healthcare, researchers at universities including Harvard and Yale analyzed insurance claims data from Aetna, Humana, and UnitedHealthcare,…
Rural hospitals contend with challenging opportunities
Rural hospitals in the US have been facing a prolonged, multifaceted crisis. The literature presents several reasons for why healthcare facilities in rural areas struggle, including shrinking budgets, rising chronic illness and public health issues like addiction and obesity, poor telehealth and broadband access, aging populations, deteriorating mental health, and…
CMS to end Change Healthcare cyberattack assistance program
Editor's Note The Centers for Medicare & Medicaid Services (CMS) has announced assistance for providers affected by the Change Healthcare cyberattack ends next month. According to the June 17 announcement, payments under the Accelerated and Advance Payment (AAP) Program for the Change Healthcare/Optum Payment Disruption (CHOPD) will end July 12,…
Hospital margins, ED visits up, length of stay down in April, Kaufman report reveals
Editor's Note The median hospital margin of 3.8% for April is an improvement over the previous month and year-over-year, according to the latest National Hospital Flash Report from Kaufman Hall. Compiled by Kaufman and Syntellis Performance Solutions (now part of Strata), the monthly report analyzes 3 years’ worth of both…
Editorial: Nurse leaders, vendors must collaborate effectively
Is working with a healthcare vendor a necessary evil? For leaders in the perioperative space, where vendors abound, it may be tempting to answer “yes.” The relationship between vendors and nurse leaders is a delicate balance between give and take, but sometimes the take seems to outweigh the give. Nonetheless,…
HCA Healthcare reports solid first-quarter financials
Editor's Note Solid operating margins and an improved payer mix contributed to robust financial outcomes for HCA Healthcare in the first quarter of 2024, including “significant growth” in inpatient admissions, surgeries and emergency room visits, according to an April 29 article on Investing.com. According to the report, outpatient surgery revenue…
Survey assesses continued impact of Change Healthcare cyberattack
Editor's Note Fallout from the February 21 cyberattack on Change Healthcare continues to threaten physician practices and their patients nationwide, with respondents to a recent American Medical Association (AMA) survey indicating difficulties with insurance claims and eligibility verification. AMA published the results of the informal survey April 10. Conducted March…
Drug shortages higher than ever
Editor's Note Shortages of active drugs in the US have reached a new record, according to an April 12 CNN report on data from the American Society of Health-System Pharmacists and the University of Utah Drug Information Service. The two organizations have been tracking this data since 2001, the CNN report says.…
Academic medical centers identify performance-improvement priorities
Editor's Note Amid a decline in the financial performance of academic medical centers (AMCs), McKinsey surveyed 100 of these institutions about what actions they are taking to improve, according to an April 12 report in Becker’s Hospital Review. According to the Becker’s article, the top 10 “operational levers” indicated by…
Private payers profit by delaying medical claims
Editor's Note Private payers initially deny reimbursement on 15% of claims, only to later approve more than half of those initial denials, according to a national survey of healthcare institutions published March 21 by Premiere, Inc. Additionally, the denied claims on average tend to be more prevalent for higher-cost treatments…
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