Hospital M&A trends report reveals financial distress, market reorganization
Editor's Note The US hospital industry continues to face significant financial and structural challenges despite signs of stabilization in 2024, according to a January 9 report from Kaufman Hall. Despite improved operating margins and stable credit outlooks from major rating agencies, a surge in transactions involving financially distressed organizations and…
Study: Patient care experience declined after private equity hospital acquisitions
Editor's Note Patients fared worse in the wake of private equity acquisitions of US hospitals, according to research published January 9 in JAMA Network. Over a decade-long analysis of 73 acquired hospitals and 293 matched controls, declines became more pronounced in the years following acquisition, researchers wrote. Key findings include:…
Prosthetic insurance coverage disparities persist despite legal protections
Editor's Note Health insurance coverage of prosthetics remains inconsistent and often inadequate, KFF Health News reported January 6. As a result, many patients face coverage denials due to claims of lack of medical necessity or high costs despite significant advancements in prosthetic technology, such as microprocessor-controlled knees and myoelectric hands.…
Proposed tariffs, stricter immigration policies threaten healthcare workforce, supply chain
Editor's Note Immigration and trade policies proposed by President-elect Donald Trump could exacerbate challenges with healthcare staff and medical supply chains, according to recent reporting from Modern Healthcare and The Hill. As detailed by Modern Healthcare, stricter immigration policies could impede efforts to recruit skilled international workers, exacerbating gaps in…
Why active implants demand proactive management
What happens when a surgeon uses the monopolar instrument set on 30-W coagulation mode to create an upper midline incision in a patient with a pacemaker? Pacemaker function is interrupted, causing a heart block that results in hemodynamic instability—or at least, this is what could happen without taking the necessary…
Surgical legislation advocacy focuses on safety, access
“Surgeons are the only people trained to provide surgery—life-saving care," says Carrie Zlatos, chief of legislative and political affairs at the American College of Surgeons (ACS). "They are an essential element of a community-based healthcare system. Regardless of where you live, everyone should have access to full quality surgical care.”…
Simple procedure or ‘surgery’? Questionable medical billing practices cause confusion
Editor's Note Certain medical bills reclassifying minor procedures as “surgery” are driving up costs and causing confusion among patients, KFF Health News December 13 reports. Cases such as a $414 charge for a splinter removal with tweezers and a $469 charge for freezing a skin tag highlight how CPT codes…
Costs drop, access expands for GLP-1 weight loss drugs
Editor's Note Access to GLP-1 medications is improving as manufacturers, insurers, and policymakers address high demand, costs, and coverage challenges, Becker’s Hospital Review reported December 13. As detailed in the article, Eli Lilly’s partnership with telehealth company Ro now allows patients to obtain Zepbound prescriptions online and receive shipments directly…
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…
Analysis: Overuse of back surgeries costs Medicare $2 billion, risks patient safety
Editor's Note More than 200,000 unnecessary back surgeries were performed on older adults from 2019 to 2021, costing Medicare approximately $2 billion and exposing patients to avoidable risks, according to a November 14 analysis from the Lown Institute. The evaluation focused on spinal fusion, laminectomy, and vertebroplasty procedures, which are…
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