ASCs sue over lack of spine surgery reimbursement
Editor's Note According to the February 2 Becker’s ASC Review, two ambulatory surgery centers (ASCs) recently filed lawsuits against insurance payers over reimbursement, or lack thereof, for spinal procedures. Surgery Center of Viera, based in Melbourne, Florida, filed its lawsuit January 20 against Cigna and consulting services Strategic Enterprise Solutions…
CMS cuts payments to 764 hospitals with high rates of HACs
Editor's Note The Centers for Medicare and Medicaid Services (CMS) on January 26 announced that 764 hospitals will face payment cuts in FY 2022 under its Hospital-Acquired Condition (HAC) Reduction Program, the January 31 Advisory Board reports. Hawaii and Idaho were the only states whose hospitals did not receive penalties.…
Association of COVID-19 with hospital readmissions
Editor's Note This study by researchers from New York University School of Medicine finds several factors associated with increased odds of readmission of patients hospitalized with COVID-19. In this retrospective cohort analysis of 6,191 adult patients hospitalized with COVID-19 in a New York safety-net hospital system between March 1 and…
Trends in ambulatory care during COVID-19
Editor's Note This study, led by researchers at UCLA David Geffen School of Medicine, finds that the use of ambulatory care services between March 2020 and February 2021 increased after an initial decrease with the onset of COVID-19. However, the rate of increase was significantly lower for Medicaid and/or Medicare…
Takeaways and lessons learned from OR Manager Conference
After more than a year in hiatus, OR Manager Conference was held in October 2021 in Chicago, bringing together hundreds of attendees, speakers, and exhibitors. After the live conference, OR Manager sat down with Cindy Kildgore, education coordinator for the OR Manager Conference; Amy Bethel, education coordinator for the OR…
Are spinal procedures the wave of the future for ASCs?
Looking toward 2022, spine procedures are expected to drive growth and optimize performance in ambulatory surgery centers (ASCs). Michael Ast, MD, chief medical innovation officer for HSS, Hospital for Special Surgery in New York, can attest to this personally. A year ago, his father could not even walk up a…
COVID-19 vaccine mandate for HCWs blocked in 10 states
Editor's Note A federal judge, on November 29, blocked a Centers for Medicare & Medicaid Services (CMS) mandate requiring COVID-19 vaccinations for healthcare workers (HCWs) in facilities participating in CMS programs in 10 states, the November 29 Bloomberg Law reports. In his ruling, the judge says the CMS mandate requires…
New value-based models allow for surgeon buy-in, cost savings
The growth of value-based healthcare models is changing the way physicians and hospitals provide care. In value-based models, providers are paid based on patient outcomes. The “value” is derived from measuring health outcomes against the cost of delivering the outcomes. This balancing act has now become more achievable with new…
Cleveland Clinic mandates COVID-19 vaccinations for US employees
Editor's Note Cleveland Clinic, on November 12, announced that it is requiring all US employees and those who provide services with Cleveland Clinic to receive the COVID-19 vaccine by January 4, 2022. In accordance with federal mandates from the Centers for Medicare & Medicaid Services, employees who are not fully…
CMS releases final Medicare payment rule for ASCs, HOPDs
Editor's Note The Centers for Medicare and Medicaid Services (CMS), on November 2, released its 2022 final payment rule for ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). The final rule increases Medicare prospective payment system rates by a net 2.0%—a combination of a 2.7% inflation update based on…
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