Tag: Healthcare costs

Rural hospital closures remain a growing concern despite slight financial improvement

Editor's Note While fewer rural hospitals are operating at a loss than last year, more are now at risk of closure, according to a new report from Chartis. Fierce Healthcare reported the news February 13. As detailed in the article, the analysis found that 46% of rural hospitals are operating…

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By: Matt Danford
February 19, 2025
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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…

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By: Matt Danford
February 18, 2025
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CABG, TAVR drive hospital revenue despite cost variations

Editor's Note Coronary artery bypass graft (CABG) surgery and transcatheter aortic valve replacement (TAVR) generate the highest overall financial returns for US hospitals, despite not being the most profitable per procedure, according to a February 13 report in Cardiovascular Business. The article covers an analysis of Medicare data, published in…

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By: Matt Danford
February 14, 2025
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Human trafficking in healthcare supply chains often underrecognized, expert argues

Editor's Note Although human trafficking’s infiltration into healthcare labor and supply chains is pervasive, many clinicians and other professionals remain unaware of the extent of the issue, according to a February 3 opinion piece in MedPage Today. While efforts have focused on identifying trafficking victims in clinical settings, healthcare organizations…

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By: Matt Danford
February 14, 2025
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Session: Anchors Away: 5 Strategies to Right-Size Your Inventory and Improve Supply Contracts

Editor's Note As executive director of the Association for Health Care Resource & Materials Management (AHRMM), Michael Schiller, CMRP, gets regular insight into strategies employed by healthcare organizations, suppliers, technology leaders and frontline staff—insight he was happy to share with OR business Management Conference attendees in a February 11 presentation.…

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By: Matt Danford
February 13, 2025
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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…

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By: Matt Danford
February 5, 2025
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Legislation proposes to halt Medicare physician payment cuts

Editor's Note A January 31 statement from the American Medical Association (AMA) announces the organization’s support for bipartisan legislation aiming to reverse steep Medicare reimbursement reductions threatening physician practices and patient care access. Introduced by a coalition of 10 House members, the "Medicare Patient Access and Practice Stabilization Act" would…

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By: Matt Danford
February 4, 2025
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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…

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By: Matt Danford
February 4, 2025
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Commentary: Studies show how surgeon decisions follow the money

Editor's Note Financial incentives can shape surgeons’ decision-making, but their effectiveness depends on the structure of the payment model. This is the central message of a January 26 article in Forbes reporting on two studies: one linking a sharp increase in hernia cases to a simple Medicare coding change, and…

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By: Matt Danford
January 30, 2025
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Proposed tariffs threaten medical device supply chain

Editor's Note Analysts say proposed tariffs on imported goods could increase costs for approximately 75% of medical devices marketed in the United States, 69% of which are manufactured solely abroad, according to a January 20 article in Medical Product Outsourcing. Valued at $197.8 billion in 2023, the US medical device…

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By: Matt Danford
January 23, 2025
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