Tag: Reimbursement

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…

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By: Judy Mathias
June 3, 2020
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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…

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By: Judy Mathias
May 19, 2020
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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…

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By: Judy Mathias
May 13, 2020
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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…

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By: Judy Mathias
March 23, 2020
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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…

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By: Elizabeth Wood
March 16, 2020
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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…

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By: OR Manager
March 16, 2020
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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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By: Judy Mathias
March 9, 2020
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Improved work environments linked to lower nurse burnout, higher patient satisfaction

Editor's Note This study from Linda Aiken, PhD, and colleagues at the University of Pennsylvania, Philadelphia, found that high levels of nurse burnout are associated with lower patient satisfaction. In this analysis of nurse burnout and patient satisfaction in 463 hospitals in four states, 50% of the hospitals where burnout…

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By: Judy Mathias
March 3, 2020
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Effect of total joint bundled payment program on patient selection

Editor's Note In this study, researchers found little to no significant change in the characteristics of patients having total hip and knee replacement surgery after the Centers for Medicare & Medicaid Services introduced the mandatory bundled payment programs in selected metropolitan statistical areas. The analysis included a matched set of…

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By: Judy Mathias
February 24, 2020
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CMS proposes changes to total joint bundled payment program

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on February 20 issued a rule proposing changes to the Comprehensive Care for Joint Replacement (CJR) program, which bundles payments to acute care hospitals for hip and knee replacement surgical procedures. CMS proposes extending the CJR model for an additional…

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By: Judy Mathias
February 24, 2020
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