Tag: Reimbursement

Health data inaccuracies cost millions, threaten care quality

Editor's Note Healthcare data inaccuracies occur at rates as high as 26.9% in hospitals, with related inefficiencies costing providers up to $20 million annually, HealthLeaders reported January 8. According to the article, these inaccuracies stem from factors such as data entry mistakes, outdated information, inconsistent data standards, and system integration…

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By: Matt Danford
January 13, 2025
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Surgical legislation advocacy focuses on safety, access

“Surgeons are the only people trained to provide surgery—life-saving care," says Carrie Zlatos, chief of legislative and political affairs at the American College of Surgeons (ACS). "They are an essential element of a community-based healthcare system. Regardless of where you live, everyone should have access to full quality surgical care.”…

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By: Brita Belli
January 1, 2025
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Orthopedic research showcases stem cells’ surgical promise

Stem cell therapy is poised to revolutionize regenerative medicine. As these therapies advance, they may alter or even replace certain invasive surgical procedures. Already undergoing advanced clinical trials, orthopedic applications are likely candidates for attracting the earliest adopters. Results so far indicate significant potential for providing alternatives to implants, grafts,…

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By: Stephanie Reda
January 1, 2025
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The anesthesia staffing crisis: How we got here, what hospitals can do

Takeaways • Documentation and coding procedures are rife with opportunity for cost savings. • Passed in 2022, the No Surprises Act is designed to protect insured patients from surprise billing for emergency services from out-of-network providers. However, the result has been nearly 40% cuts in reimbursements to anesthesiologists. • OR…

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By: Brita Belli
November 20, 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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HRS aims to strengthen electrophysiology advocacy amid growing atrial fibrillation challenges

Editor's Note The Heart Rhythm Society (HRS) announced the formation of Heart Rhythm Advocates, a new 501(c)(4) nonprofit advocacy organization aimed at bolstering support for cardiac electrophysiology (EP), Cardiac Rhythm News October 23 reports. This initiative complements HRS's existing 501(c)(3) nonprofit structure and responds to the increasing prevalence of atrial…

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By: Tarsilla Moura
October 23, 2024
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Medicare Advantage insurers prioritize profits over patients, Senate reports

Editor's Note A Senate report reveals that Medicare Advantage insurers are increasingly prioritizing profits over patient care by ramping up the use of prior authorization to deny necessary services, particularly post-acute care, for older adults, Becker’s Hospital Review reported October 17. In May 2023, the Senate Permanent Subcommittee on Investigations…

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By: Matt Danford
October 22, 2024
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Outpatient, ASC clinicians share perspectives on upcoming NOPAIN Act implementation

Editor's Note On October 14, Anesthesiology News published a monograph featuring clinical perspectives on how “those working in the trenches of postsurgical pain management” are preparing for the Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act, which outlines new, separate Medicare reimbursement for certain non-opioid analgesics in outpatient and ambulatory…

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By: Matt Danford
October 16, 2024
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Repeal of CON laws for ASCs expands healthcare access, number of facilities in rural areas

Editor's Note This fall 2024 study published by the CATO Institute found that repealing Certificate-of-Need (CON) laws for ambulatory surgical centers (ASCs) would significantly increase the number of ASCs, improving patient access to affordable and high-quality care. By examining six states that repealed ASC-specific CON laws between 1991 and 2019,…

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By: Tarsilla Moura
October 2, 2024
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Nearly 1 in 3 US rural hospitals at risk of closure

Editor's Note More than 700 rural hospitals, representing 31% of all rural hospitals in the country, are at risk of closure, according to a report from the Center for Healthcare Quality & Payment Reform. Chief Healthcare Executive reported the news August 8. According to the article, 16% of all rural…

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By: Matt Danford
August 15, 2024
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