Tag: Healthcare costs

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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By: Matt Danford
April 4, 2024
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Report illuminates how AI transforms hospitals, healthcare

Editor's Note A paper published March 29 in the journal Bioengineering examines the growing integration of artificial intelligence (AI) into hospital and healthcare systems and the way in which it is augmenting clinical decision-making, optimizing hospital operation and management, improving medical image analysis, and transforming patient care and monitoring through…

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By: Brita Belli
April 2, 2024
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Study: Postoperative hospital readmissions higher for older Americans

JAMA (healthcare publication) Network logo

Editor's Note Older Americans are at heightened risk for both short-term and long-term hospital readmission following major surgery, according to a study from Yale University published February 28 in Jama Network Open.   Readmission places a major financial strain on health systems, researchers write, pointing out that the total cost…

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By: Brita Belli
March 27, 2024
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Study: Propofol sedation increases colonoscopy costs without improving outcomes

Editor's Note Although the use of propofol for colonoscopy has been rising due to beliefs that deep sedation leads to greater patient comfort, a recent systematic review and meta-analysis of nearly 1,500 patients from nine randomized controlled trials shows this view is not supported by available evidence. Published March 8…

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By: Matt Danford
March 25, 2024
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How data puts the ‘value’ in value-based care

What if a surgeon decided to perform a procedure on a patient that was not totally necessary? It happens more often that one might realize. As recently as August 2023, Forbes published an article that cited a Harvard Business Review report stating that over 50% of lumbar spine surgeries are…

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By: David Cotriss
March 22, 2024
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Editorial: OR Business Management Conference tackled financial challenges, technological innovations

This past February, the OR Business Management Conference, held in Phoenix, Arizona, brought together business managers of all walks of life. The intimate event was once again a symbiotic blend between financial- and business-centric education and high-quality networking. The education offered for seasoned and new business leaders alike, perhaps more…

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By: Tarsilla Moura
March 22, 2024
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Medicare households have double the healthcare spending burden

Editor's Note The healthcare spending burden of Medicare households was double that of non-Medicare households in 2022, according to an analysis published by KFF (Kaiser Family Foundation) on March 14.  Using data from the Consumer Expenditure Survey, KFF found that average health-related expenses made up 13.6% of Medicare households’ total…

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By: Brita Belli
March 19, 2024
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Survey reveals broad impact of Change Healthcare cyberattack

Editor's Note The recent cyberattack on Change Healthcare created a financial impact for the lion’s share of US hospitals surveyed recently by the American Hospital Association, with more than half reporting “significant or serious” impact and three of every four also reporting direct impacts on patient care. These data reflect…

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By: Matt Danford
March 18, 2024
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Federal probe investigates care quality impact of private equity mergers, acquisitions

Editor's Note Making good on plans announced by the Biden administration in December, federal agencies have launched a public inquiry into how private equity mergers and acquisitions impact patient outcomes, worker safety, and healthcare access and costs, including costs to taxpayers.  As reported by Dotmed Healthcare Business News on March…

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By: Matt Danford
March 14, 2024
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2023 was transformative for ASC sector: Growth, regulatory changes, strategic consolidations

Editor's Note Becker’s ASC Review on February 13 published an in-depth overview of the ambulatory surgery center (ASC) sector's growth and activity in 2023. It highlights the ongoing trends, market dynamics, regulatory changes, and notable company performances within the industry. Here are some takeaways: Growth and consolidation: The ASC sector…

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By: Tarsilla Moura
March 13, 2024
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