Renewed push for healthcare price transparency faces familiar challenges
Editor's Note Although a recent executive order from President Donald Trump aims to make hospitals and insurers reveal negotiated prices, data inconsistencies and a lack of consumer usability continue to hinder progress, according to a March 31 article from NPR. As detailed in the report, the executive order builds on…
Rethinking life after 65: A three-pillar approach to retirement planning
Editor's Note With several major gatherings planned for this spring—including those from AORN, AONL, ASCA, and ASPAN—a bustling events season offers perioperative leaders valuable opportunities for reflection on our careers and futures. Speaking of futures, the 2024 OR Manager Salary/Career Survey revealed an intriguing shift: only 9% of perioperative nurses…
Cost-shifting concerns rise as GOP eyes Medicaid cuts
Editor's Note Large employers are warning hospitals they will not absorb higher costs if plans by Republicans and the Trump administration for deep Medicaid cuts proceed, a February 28 article in Modern Healthcare reports. The threat of reduced Medicaid funding has reignited concerns about hospitals shifting costs onto employers and…
Study: Wildfire smoke raises hospital borrowing, patient care costs
Editor's Note Wildfire smoke is driving up borrowing costs for hospitals and healthcare facilities, potentially leading to higher patient care costs, according to new research from the University of Nevada, Reno. As detailed in a February 18 article in Nevada Today, findings show municipal bond investors are factoring wildfire smoke…
Montana legislators' prior authorization reform push mirrors national trends
Editor's Note Montana legislators are moving to restrict health insurers’ use of prior authorization as frustration over the practice mounts nationwide, KFF News reported February 13. The outlet reports that two Democratic and Republican lawmakers have introduced or are drafting bills for the 2025 Montana Legislature to limit these insurer-mandated…
Rural hospital closures drive up surgical travel times and costs
Editor's Note Ongoing hospital closures are driving up travel times and out-of-pocket costs for rural Americans who need surgery, according to a February 12 report in HealthDay. Citing two recent studies published in Annals of Surgery and JAMA, respectively, the article details how rural hospital closures have forced more patients…
Moody’s downgrades health insurance outlook as medical costs surge
Editor's Note Moody’s Ratings has shifted the health insurance industry’s credit outlook from stable to negative, according to a February 3 article in Fierce Healthcare. According to the article, the downgrade is due to escalating medical costs that outpace reimbursement rates. Analysts project an 8% rise in commercial market spending…
Cigna ties executive pay to patient experience
Editor's Note As part of a larger initiative to ease access to care, insurance giant Cigna is tying compensation for senior leadership directly to customer satisfaction. Modern Healthcare reported the news February 3. The shift is part of a multi-pronged approach that also includes overhauling prior authorization requirements and limiting…
Providers push back on insurance cost-cutting hurdles
Editor's Note Escalating administrative hurdles from insurers are heightening tensions between healthcare payers and providers who criticize the measures for threatening patient care, Modern Healthcare reported January 22. According to the article, policies attracting criticism include stringent prior authorization rules, claims denials, and new fees for appeals. For their part,…
Podcast episode discusses the anesthesia provider shortage in ASCs
Editor's Note In a January 9 episode of the Advancing Surgical Care Podcast, ASCA President Mark Wainner engaged Alfonso del Granado, MBA, FACHE, CASC, an ASCA Board member and administrator of Covenant High Plains Surgery Center in Lubbock, Texas, in a discussion focusing on the pressing issue of anesthesia provider…
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