Tag: Medicare

Unpacking the impact of private investment on innovation, ASCs

One privilege of living at this time in history is the availability of choice, especially for health and surgical needs. Those who make healthcare their business understand this as well. According to Tanna et al, ambulatory surgery centers (ASCs) are spreading to rural areas, hospitals are creating hybrid outpatient surgery…

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By: Dr Rosemary Babeaux, DNP, RN, NE-BC, EBP (CH)
July 31, 2024
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The US News journey to introduce a new ‘best’ ASCs ranking

Some 800,000 knee replacements and 550,000 hip replacements are performed in the US each year. Factoring in the ever-expanding aging population, projections show the figure for knee replacements alone will explode to 3.5 million procedures being done annually by 2030—and that is just one type of procedure within a single…

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By: Tarsilla Moura
July 31, 2024
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US News & World Report updates ‘Best Hospital’ ranking methodology

Editor's Note The latest "Best Hospitals" rankings from U.S. News & World Report have been released with significant updates to methodology in response to recent controversies. MedPage Today reported the news July 16. Among the chief changes this year is the inclusion of Medicare Advantage data in the rankings, a…

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By: Matt Danford
July 18, 2024
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Trump record, Republican National Convention hint at GOP healthcare policy priorities

Editor's Note As the Republican National Convention meets in Milwaukee to nominate Donald Trump, the party is not expected to unveil a detailed healthcare platform. However, a July 15 report in Modern Healthcare covers what plans and past records reveal about the potential direction of health policy under a GOP…

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By: Matt Danford
July 15, 2024
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Hospitals, health groups criticize CMS pay proposals

hospital CFO report logo

Editor's Note Hospital groups are criticizing CMS' proposed 2.6% pay increase for 2025, deeming it insufficient for nonprofit hospitals with operating margins near or below zero, according to a July 11 article in Becker’s Hospital CFO Report. The American Hospital Association and America's Essential Hospitals argue the rise won't cover…

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By: Matt Danford
July 12, 2024
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CMS releases proposed Medicare payment rates for outpatient, ASC services

Editor's Note On July 10, CMS proposed Medicare payment rates for hospital outpatient and ambulatory surgery center (ASC) services for 2025.  Published annually, the Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System Proposed Rule will have a 60-day comment period, which this year ends September 9 prior to…

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By: Matt Danford
July 10, 2024
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UnitedHealth has ‘quietly’ bought several outpatient surgery centers

Editor's Note UnitedHealth Group acquired dozens of outpatient facilities, particularly surgery centers, in 2023, often without public announcements, STAT March 11 reports. This builds on their network of about 90,000 physicians. Many new centers are in areas where UnitedHealth dominates the Medicare Advantage market. A major acquisition was National Cardiovascular…

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By: Tarsilla Moura
July 10, 2024
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US healthcare spending growth expected to outpace overall economic growth

Editor's Note Expected to grow at an average annual rate of 5.6%, US healthcare spending will outpace GDP growth—projected at 4.3%--and rise to $7.7 trillion by 2032, according to a June 28 report in ASC focus. The $7.7 trillion figure amounts to 19.7% of GDP. The report is sourced from…

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By: Matt Danford
July 8, 2024
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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…

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By: David C. Walsh
June 24, 2024
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Understanding bipartisan push for site-neutral Medicare payments aiming to curb healthcare costs, consolidation

Editor's Note Amid growing concerns over healthcare spending and affordability, there is bipartisan interest in aligning Medicare payments for outpatient services across various care settings through "site-neutral" payments, KFF June 14 reports. As a June 2023 Modern Healthcare article explains, last year Congress reviewed legislation to expand site-neutral payment policies,…

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By: Tarsilla Sampaio Moura
June 18, 2024
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