Tag: Reimbursement

Telehealth in limbo: Providers split on continuing Medicare services during shutdown

Editor's Note Telehealth providers are divided over whether to continue serving Medicare patients after reimbursement expired alongside the federal government shutdown, Modern Healthcare October 9 reports. The impasse has forced organizations to weigh patient access against financial risk, with many issuing advance beneficiary notices warning patients they may be responsible…

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By: Tarsilla Moura
October 15, 2025
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ASCs surge as hospitals and investors chase outpatient growth

Editor's Note Hospitals, physicians, and private equity are accelerating their push into lower-cost outpatient care. According to Colliers US Healthcare Services Research Report Q3 2025, published on September 22, ambulatory surgery center (ASCs) procedure volumes are projected to grow 9% between 2023 and 2028—outpacing hospital outpatient department growth at 7%—and…

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By: Tarsilla Moura
October 15, 2025
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Government shutdown squeezes military medicine, halts NIH research, cuts CDC operations

Editor's Note Following yesterday’s update on the impact of the federal government shutdown on telehealth and Affordable Care Act disruptions, the shutdown is also straining military health systems, biomedical research, and disease prevention programs, creating ripple effects for patient care and surgical innovation, Politico October 1 reports. While Medicare, Medicaid,…

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By: Tarsilla Moura
October 2, 2025
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Government shutdown stalls healthcare access, freezes Medicare telehealth, hospital-at-home services

Editor's Note A federal shutdown has halted critical healthcare programs, disrupted Medicare telehealth and hospital-at-home coverage, and escalated partisan conflict over the Affordable Care Act (ACA) and Medicaid, multiple outlets report, including HealthLeaders October 1 and KFF Health News. The budget impasse reportedly is leaving both patients and providers in…

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By: Tarsilla Moura
October 1, 2025
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Optimizing vendor partnerships for cost containment, growth in ASCs: OR Manager Conference Session Preview

Growth is the goal in any ASC—growth in volume, growth in profits, and often growth to new locations. For DISC Surgery Centers, which just opened its sixth ambulatory surgery center (ASC) through parent company TriasMD, that growth has been the result of many factors. A key driver, according to Frank…

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By: Carina Stanton
September 24, 2025
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CMS proposal to end inpatient only list draws strong industry response

Editor's Note The plan to eliminate the Medicare Inpatient-Only (IPO) List and expand the Ambulatory Surgery Center Covered Procedures List (ASC-CPL) from the Centers for Medicare & Medicaid Services (CMS) has generated widespread reaction, with more than 3,900 comments submitted during the official feedback period, Ambulatory Surgery Center News September…

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By: Tarsilla Moura
September 22, 2025
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Kansas nurses warn licensing board’s rules leave them vulnerable to career-ending penalties

Editor's Note Nurses in Kansas are raising alarms that the state’s licensing system is punishing them for minor mistakes and lapses, leaving many unable to work, according to a series of reports by KWCH between August 27 and September 12. Lawmakers are now pressing the Kansas State Board of Nursing…

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By: Tarsilla Moura
September 17, 2025
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Surgical patients see better outcomes but face longer hospital stays, AHA and Vizient report finds

Editor's Note Hospitalized surgical patients in 2024 were nearly 20% more likely to survive than expected compared to 2019, according to an August 5 analysis from the American Hospital Association (AHA) and Vizient. The report credits safety improvements such as reductions in infections, falls, and major complications, even as surgical…

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By: Tarsilla Moura
September 16, 2025
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AHA study: HOPD Medicare patients are poorer, sicker, more rural than those seen in physician offices

Editor's Note Medicare patients treated in hospital outpatient departments (HOPDs) present with greater socioeconomic and clinical complexity than peers seen in independent physician offices, including higher prior emergency department (ED) visits and inpatient use. According to an American Hospital Association (AHA) study conducted by KNG Health Consulting and published on…

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By: Tarsilla Moura
September 4, 2025
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Rural hospitals face crisis under OBBBA as experts call for cohesive reform

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Editor's Note The One Big Beautiful Bill Act (OBBBA) is set to reshape rural healthcare in ways that could destabilize already fragile systems. According to a September 3 JAMA Network article, the law is set to reduce federal Medicaid spending by more than $900 billion over 10 years, cuts that…

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By: Tarsilla Moura
September 4, 2025
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