Costs & Cost Controls

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April 2024
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Survey assesses continued impact of Change Healthcare cyberattack

Editor's Note Fallout from the February 21 cyberattack on Change Healthcare continues to threaten physician practices and their patients nationwide, with respondents to a recent American Medical Association (AMA) survey indicating difficulties with insurance claims and eligibility verification. AMA published the results of the informal survey April 10. Conducted March…

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By: Matt Danford
April 19, 2024
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Academic medical centers identify performance-improvement priorities

Editor's Note Amid a decline in the financial performance of academic medical centers (AMCs), McKinsey surveyed 100 of these institutions about what actions they are taking to improve, according to an April 12 report in Becker’s Hospital Review. According to the Becker’s article, the top 10 “operational levers” indicated by…

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By: Matt Danford
April 17, 2024
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Hackers demand another ransom from Change Healthcare after dark web data leak

Editor's Note: Ransomware group RansomHub is threatening to sell information stolen in the Change Healthcare cyberattack after leaking some of the material to the dark web, according to an April 16 report in Becker’s Health IT. Comprising contracts, records, and other personal patient data, the posted material is part of…

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By: Matt Danford
April 16, 2024
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Annual CMS rules support underserved, under-resourced communities, promote value-based care

Editor's Note Addressing social determinants of health (SDOHs), strengthening emergency preparedness, and improving maternal heath are among the top priorities of the fiscal year (FY) 2025 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) rules released April 10. These and other efforts aim to…

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By: Matt Danford
April 12, 2024
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EPA rule to limit dangerous emissions from medical sterilization plants

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Editor's Note The Environmental Protection Agency (EPA) has finalized a rule to reduce chloroprene and ethylene oxide emissions that will impact over 200 chemical plants across the nation, including medical sterilization plants, according to an April 10 report from USA Today. Under the new rule, the EPA will cut more…

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By: Brita Belli
April 11, 2024
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Patient survey: Excessive needlesticks during hospital visits impede workflow

Editor's Note A new survey finds that hospital patients receive more needlesticks than necessary, negatively impacting their experience and contributing to workflow issues. The survey was published March 27 by medical technology company BD and conducted by the Harris Poll. More than 1 in 10 (11%) of 2,006 surveyed adults, including…

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By: Brita Belli
April 8, 2024
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Concierge physician practices expanding to large hospitals

Editor's Note The practice of concierge physicians is expanding as thousands of doctors at large hospital systems shift to a model facilitating high fees and decreased patient load, according to an April 1 report in KFF Health News. The concierge physician model began decades ago in wealthy areas of Florida…

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By: Brita Belli
April 8, 2024
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Private payers profit by delaying medical claims

Editor's Note Private payers initially deny reimbursement on 15% of claims, only to later approve more than half of those initial denials, according to a national survey of healthcare institutions published March 21 by Premiere, Inc. Additionally, the denied claims on average tend to be more prevalent for higher-cost treatments…

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By: Matt Danford
April 4, 2024
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Study deems EHR manipulation “elephant in the room” for OR scheduling accuracy

Editor's Note Reducing surgeon manipulation of electronic health record (EHR) OR scheduling systems can improve efficiency, save resources, and enhance service to patients, according to data published in the March/April issue of the Journal of Healthcare Management. Although predictive models using EHR and machine learning improve accuracy compared to traditional…

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By: Matt Danford
April 2, 2024
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Report illuminates how AI transforms hospitals, healthcare

Editor's Note A paper published March 29 in the journal Bioengineering examines the growing integration of artificial intelligence (AI) into hospital and healthcare systems and the way in which it is augmenting clinical decision-making, optimizing hospital operation and management, improving medical image analysis, and transforming patient care and monitoring through…

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By: Brita Belli
April 2, 2024
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