Tag: payment rate

Cardiology efficiency, orthopedic revenue surge as ASCs navigate growing complexity

Editor's Note HST Pathways’ most recent industry report, discussed on the Advancing Surgical Care Podcast by HST CEO David Thawley and Bill Prentice, CEO of the Ambulatory Surgery Center Association (ASCA), offers insights into cardiology and orthopedic procedures done in ambulatory surgery centers (ASCs) in 2024, Ambulatory Surgery Center News…

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By: Tarsilla Moura
March 26, 2025
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Cost-shifting concerns rise as GOP eyes Medicaid cuts

Editor's Note Large employers are warning hospitals they will not absorb higher costs if plans by Republicans and the Trump administration for deep Medicaid cuts proceed, a February 28 article in Modern Healthcare reports. The threat of reduced Medicaid funding has reignited concerns about hospitals shifting costs onto employers and…

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By: Matt Danford
March 3, 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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Trends, benchmarks, strategic insights from 2024 ASC activity

Editor's Note This industry report from HST Pathways provides an in-depth analysis of key trends and operational benchmarks for ambulatory surgery centers (ASCs) in 2024, offering actionable insights for nurse leaders. Based on data from 590 ASCs and nearly 3 million patient visits, the report highlights both achievements and persistent…

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By: Tarsilla Moura
January 15, 2025
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Anthem anesthesia payment policy reversal prompts statement from American Society of Anesthesiologists

Editor's Note The American Society of Anesthesiologists (ASA) commended Anthem's reversal of a policy to deny anesthesia payment based on arbitrary time limits, which was set for February 2025 in three states. “The now-rescinded policy was inconsistent with prevailing standards, regulations and billing norms, and revealed a diminished dedication to…

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By: Matt Danford
December 6, 2024
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AHA's Congressional "wish list" calls for financial relief, patient access, workforce protections

Editor's Note   In a November 12 letter to Congress, the American Hospital Association (AHA) outlined its priorities for the lame-duck legislative session, focusing on measures to stabilize hospitals and health systems facing significant financial and operational pressures. If enacted, these recommendations would support the nation’s healthcare infrastructure amid rising…

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By: Matt Danford
November 14, 2024
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2025 Medicare reimbursement cuts spark concern among physicians

Editor's Note Doctors facing inflationary and operational cost increases are decrying recently finalized 2025 Medicare reimbursement rates, according to a November 4 report in Healthcare Dive. The 2025 rates reduce physician payments by 2.9% while increasing rates for hospital outpatient departments and ambulatory surgery centers (ASCs) by 2.9%, the outlet…

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By: Matt Danford
November 5, 2024
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Traveler tightrope: OR leaders balance best practices, reduction strategies

Takeaways Providers are generally seeking to reduce use of travelers through strategies such as float pools, training programs, and cultural reforms. However, travelers remain useful as a bridge to permanent staff and for difficult-to-fill positions. Best practices for selection, onboarding, team integration, and performance evaluation are essential for maximizing return…

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By: Cynthia Saver, MS, RN
September 25, 2024
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2025 IPPS payment rule criticized

Editor's Note The American Hospital Association (AHA) criticized new inpatient prospective payment system rates issued August 1 by the Centers for Medicare and Medicaid Services (CMS), citing the potential of financial struggles for hospitals and reduced access for patients, particularly in rural or underserved areas. Under the new rule, most…

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By: Matt Danford
August 6, 2024
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High RN, higher travel RN pay reflect post-pandemic demand

Editor's Note Heightened demand has made nursing lucrative relative to other professions, especially since the COVID-19 pandemic, according to a May 9 report from healthcare job marketplace Vivian Health. Based on the firm’s proprietary salary data as well as information from the Bureau of labor Statistics, Vivian estimates registered nurses…

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By: Matt Danford
July 19, 2024
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