Costs & Cost Controls

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September 2025
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Costs drop, access expands for GLP-1 weight loss drugs

Editor's Note Access to GLP-1 medications is improving as manufacturers, insurers, and policymakers address high demand, costs, and coverage challenges, Becker’s Hospital Review reported December 13. As detailed in the article, Eli Lilly’s partnership with telehealth company Ro now allows patients to obtain Zepbound prescriptions online and receive shipments directly…

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By: Matt Danford
December 13, 2024
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Anthem anesthesia payment policy reversal prompts statement from American Society of Anesthesiologists

Editor's Note The American Society of Anesthesiologists (ASA) commended Anthem's reversal of a policy to deny anesthesia payment based on arbitrary time limits, which was set for February 2025 in three states. “The now-rescinded policy was inconsistent with prevailing standards, regulations and billing norms, and revealed a diminished dedication to…

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By: Matt Danford
December 6, 2024
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Study: AI improves surgical case length predictions

Editor's Note A recent study developed and validated an artificial intelligence (AI) model leveraging natural language processing (NLP) and machine learning to significantly improve prediction accuracy for surgical case length. Published November 29 in the journal Surgery, the findings show promise for using AI as an alternative to current methods…

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By: Matt Danford
December 4, 2024
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Study: Rural hospital mergers, acquisitions boost financial stability, care access

Editor's Note Data show nearly half of rural hospitals categorized as high-risk financially improved their stability after mergers, acquisitions, or affiliations (M&A) with larger health systems, Fierce Healthcare reported December 2. Conducted by Dobson DaVanzo & Associates and commissioned by the Coalition to Strengthen America’s Healthcare, the analysis found that 110…

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By: Matt Danford
December 4, 2024
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Save the date for the 2025 OR Business Management Conference

Editor's Note Curious to learn how hurricane-impacted health organizations are navigating supply chain challenges? What about the latest trends in ambulatory surgery centers (ASCs), AI-driven scheduling software, or the workings of the hospital C-suite? Designed specifically for perioperative business leaders seeking to optimize efficiency and increase profitability, the 2025 OR…

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By: Matt Danford
November 22, 2024
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Hospital financial report predicts stability, high cybersecurity costs for 2025

Editor's Note Hospitals’ financial outlook is stable, although growth is slowing and certain costs are projected to increase, particularly for cybersecurity, according to two recent Becker’s reports on data from Moody’s Investor Services. The first, published November 14 in Becker’s Hospital CFO Report, notes that “hospitals are facing a stable…

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By: Matt Danford
November 20, 2024
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Telehealth, virtual care enhance perioperative efficiency

Eliminating physical distance as a barrier to communication makes it easier for caretakers to help not only their patients, but also one another. This is the promise of virtual care technology, which offers system-wide potential for providers facing growing demand for high-quality, cost-effective care. For perioperative leaders specifically, advantages of…

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By: Aaron Chau
November 20, 2024
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No construction required—AI uncovers system-wide capacity

Amid rising demand for surgical procedures, improving perioperative operations is a pressing priority for any hospital. For a system serving one of the fastest-growing counties in the US, it becomes an operational imperative. This is the case for WakeMed Health & Hospitals (WakeMed). With ORs spread across multiple facilities in…

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By: Alyssa Arrese, MHA
November 20, 2024
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Analysis: Overuse of back surgeries costs Medicare $2 billion, risks patient safety

Editor's Note More than 200,000 unnecessary back surgeries were performed on older adults from 2019 to 2021, costing Medicare approximately $2 billion and exposing patients to avoidable risks, according to a November 14 analysis from the Lown Institute. The evaluation focused on spinal fusion, laminectomy, and vertebroplasty procedures, which are…

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By: Matt Danford
November 15, 2024
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AHA's Congressional "wish list" calls for financial relief, patient access, workforce protections

Editor's Note   In a November 12 letter to Congress, the American Hospital Association (AHA) outlined its priorities for the lame-duck legislative session, focusing on measures to stabilize hospitals and health systems facing significant financial and operational pressures. If enacted, these recommendations would support the nation’s healthcare infrastructure amid rising…

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By: Matt Danford
November 14, 2024
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