COVID-19 hospitalization costs could reach $17B this year
Editor's Note A new Avalere analysis estimates the cost of COVID-19 hospitalizations could range between $9.6 billion and nearly $17 billion this year, depending on infection and hospitalization trends, the June 23 Fierce Healthcare reports. The analysis considers the cost of hospitalizations in three scenarios: $9.6 billion, if there is…
ASC offsets some revenue loss through 'Hospital Without Walls' waiver
Far fewer cases of COVID-19 have been seen in rural areas of the US than in large urban populations. But even healthcare facilities not inundated with COVID-19 patients have sustained revenue losses and disruptions in standard procedures. One major advantage for Heartland Surgery Center in Kearney, Nebraska, was seeing the…
Proactive payment collection reduces bad debt risk
Establishing policies to collect payment before surgery has grown in importance as high-deductible health plans impose larger out-of-pocket costs on patients. To help manage patients’ expectations about costs and increase the likelihood of collecting payment, some experts believe a culture shift is in order. They say healthcare facilities should be…
CMS to make some pandemic telehealth provisions permanent
Editor's Note The Centers for Medicare & Medicaid Services (CMS) administrator Seema Verma says use of telehealth has grown dramatically during the COVID-19 pandemic, and some provisions that were extended temporarily will be made permanent, the June 2 Becker’s Hospital Review reports. During the pandemic, CMS expanded access to telehealth…
Study predicts 28 million surgical procedures cancelled worldwide because of COVID-19
Editor's Note More than 28 million elective surgical procedures worldwide will be cancelled or postponed as a result of the COVID-19 pandemic, this study estimates. Researchers from the University of Birmingham, UK, collected data from surgeons in 359 hospitals and 71 countries. The data was then statistically modeled to estimate…
CMS releases proposed inpatient payment rule for FY 2021
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on May 11 released a proposed rule that increases Medicare inpatient prospective payment system (IPPS) rates by a net of 3.1% in FY 2021, compared to 2020, for acute care hospitals participating in the Hospital Inpatient Quality Reporting Program that…
CMS announces regulatory relief for VBC programs in response to COVID-19
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on March 22 extended the deadlines for quality reporting and applications for providers, clinicians, and facilities in value-based care (VBC) programs as they face a growing number of COVID-19 patients. CMS also announced that it will not use any data…
OR business leaders anticipate growth and opportunities in 2020
Planning for volume growth and adopting best business practices for the perioperative environment were overarching themes at the 2020 OR Business Management Conference (ORBMC) in late January. Leading healthcare industry clinicians and experts offered fresh insights into competing in the burgeoning outpatient surgery market and persuading stakeholders to switch to…
Overcoming common obstacles to implementing a perioperative surgical home
Over the last 5 years, the perioperative surgical home (PSH) model has attracted increasing interest from OR directors, anesthesiologists, and surgeons. This team-based, patient-centered approach coordinates all phases of surgical care, from preoperative assessment through intraoperative care and postdischarge recovery. According to the American Society of Anesthesiologists, PSH initiatives have…
Outcomes, costs of Medicare patients having surgery at teaching vs nonteaching hospitals
Editor's Note This study of Medicare patients at 340 teaching hospitals and matched patient controls at 2,444 nonteaching hospitals found that as risk of mortality increased, the mortality benefit of treatment at teaching hospitals also increased, though with marginally higher costs. Included in the analysis were 86,751 pairs of general,…
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- CMS vision shifts as agency halts funding for state programs
- Low-cost blood test predicts cardiovascular event risk
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- GAO urges HHS to improve drug shortage response coordination
- Study: US maternal mortality rises 28% in 5 years, inequities persist
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- Study: Hospital same‑day knee replacements match ASC outcomes, even in higher‑risk patients
- FDA clears AI platform for real-time surgical measurements
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