Tag: Reimbursement

CMS penalizes nearly half of all hospitals for high readmission rates

Editor's Note In FY 2022, the Centers for Medicare and Medicaid Services (CMS) will penalize 2,499 (47%) hospitals for excessive patient readmissions, the October 28 Kaiser Health News reports. In its 10th year of the Hospital Readmissions Reduction Program, CMS will cut payments to the penalized hospitals by as much…

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By: Judy Mathias
November 1, 2021
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How might telehealth alter approaches to surgical patient care?

Telehealth services grew exponentially in the early days of the COVID-19 pandemic. Overall telehealth utilization for office visits and outpatient care was 78 times higher in April 2020 than in February 2020, according to a McKinsey & Company July 2021 report. Since then, telehealth utilization has stabilized at levels that…

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By: Elizabeth Wood
September 21, 2021
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Act now to address predicted gaps in anesthesiology coverage

Perioperative services leaders have their hands full with a range of pressing issues, from the return of elective case cancellations to new struggles with staff turnover. However, an even bigger problem is flying under the radar for many hospitals—impending changes in the market for anesthesiology services. Several factors are coming…

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By: Joshua Miller, MD, Thomas Blasco, MD, MS and Kartik Bhatt, MPH
September 21, 2021
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Widening of racial, socioeconomic healthcare gap for organ transplant patients during COVID-19

Editor's Note This study led by researchers at the University of Texas Southwestern Medical Center, Dallas, finds that although COVID-19’s effect on access to liver transplantation has been all-pervasive, minorities have been disproportionately affected—especially those with public insurance. During the initial wave of COVID-19, organ transplantation was classified as a…

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By: Judy Mathias
September 16, 2021
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Maintaining a productive OR as cases shift to ASCs

The migration of surgical procedures from hospital ORs to hospital-owned ambulatory surgery centers (ASCs) is picking up speed. According to a recent survey, three-quarters of larger hospitals now have an ownership stake in more than one ASC. Two-thirds of US health systems are currently planning to increase their ASC investment.…

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By: Leslie Basham, MBA, Thomas Blasco, MD, MS, Brian Watha, MHSA, Anne Cole, RN, MSN, CNOR and Joan Dentler
August 19, 2021
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Medicaid expansion reduces uninsured surgical hospitalizations, financial burden

Editor's Note This study from Duke University Medical Center, Durham, North Carolina, finds that Medicaid expansion was associated with a reduction in uninsured surgical hospitalizations. Researchers analyzed state-level data across 44 states and patient-level data across four states, and they compared hospitalizations in expansion and non-expansion states. Uninsured surgery patients…

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By: Judy Mathias
August 5, 2021
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CMS issues IPPS final rule for FY 2022

Editor's Note The Centers for Medicare and Medicaid Services (CMS) on August 2 issued its final Inpatient Prospective Payment System (IPPS) rule for FY 2022. The final rule: increases Medicare payment rates by a net 2.5%, compared to FY 2021, for hospitals that are meaningful users of electronic health records…

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By: Judy Mathias
August 5, 2021
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ACS strongly opposes Medicare cuts to surgical patient care

Editor's Note In a July 14 news release, the American College of Surgeons (ACS) said the proposed Medicare physician fee schedule for CY 2022 poses a threat to surgical patient care. The proposed rule from the Centers for Medicare & Medicaid Services (CMS) maintains cuts to surgical care that Congress…

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By: Judy Mathias
July 22, 2021
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Regroup and recharge at OR Manager's leadership conferences

As the nation gradually resumes activities that have been restricted during the COVID-19 pandemic, OR Manager looks forward to hosting two fall conferences. The OR Business Management Conference (ORBMC) takes place in San Diego, September 27-29, and the OR Manager Conference follows in Chicago, October 20-22. There has never been…

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By: Elizabeth Wood
June 22, 2021
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CMS extends ASC quality data reporting deadline

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced May 17 that it has extended the Ambulatory Surgical Center Quality Reporting (ASCQR) program data submission deadline from Monday, May 17, to Monday, July 19, 2021. The extension provides ASCs with more time to obtain HARP [Health Care Quality…

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By: Judy Mathias
May 19, 2021
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