Tag: Medicare

The Joint Commission secures renewed deeming approval for ASCs

Editor's Note The Joint Commission announced on July 31 it has secured renewed deeming approval from the Centers for Medicare & Medicaid Services (CMS) for its Ambulatory Surgical Center (ASC) Accreditation Program. This renewed approval is effective from September 1, 2024, through September 1, 2030, the maximum term allowed by…

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By: Tarsilla Moura
August 7, 2024
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1,000 California surgeries cancelled amid CRNA credentialing confusion

Editor's Note A CMS citation for immediate jeopardy this past June allegedly resulted in the cancellation of nearly 1,000 surgeries at Doctors Medical Center in Modesto, California, according to a July 30 article in Becker’s ASC Review. Citing a July 26 letter from California Assemblymen Heath Flora and Juan Alanis…

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By: Matt Danford
August 2, 2024
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"Tweener" hospitals eye financial relief after Supreme Court ruling

Editor's Note The Supreme Court’s recent “Chevron” ruling could offer additional financial security to hundreds of so-called "tweener" rural hospitals—those too large to be considered critical access hospitals but too small to be rural referral centers. Modern Healthcare reported the news July 29. According to the article, critical access hospitals,…

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By: Matt Danford
August 1, 2024
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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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