Costs & Cost Controls

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September 2025
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CMS to end Change Healthcare cyberattack assistance program

Centers for Medicare & Medicaid Services

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has announced assistance for providers affected by the Change Healthcare cyberattack ends next month. According to the June 17 announcement, payments under the Accelerated and Advance Payment (AAP) Program for the Change Healthcare/Optum Payment Disruption (CHOPD) will end July 12,…

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By: Matt Danford
June 20, 2024
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Understanding bipartisan push for site-neutral Medicare payments aiming to curb healthcare costs, consolidation

Editor's Note Amid growing concerns over healthcare spending and affordability, there is bipartisan interest in aligning Medicare payments for outpatient services across various care settings through "site-neutral" payments, KFF June 14 reports. As a June 2023 Modern Healthcare article explains, last year Congress reviewed legislation to expand site-neutral payment policies,…

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By: Tarsilla Sampaio Moura
June 18, 2024
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US healthcare spending outpaces GDP, tracks toward $7.7 trillion by 2032

Editor's Note Growth in healthcare spending is outpacing nominal economic growth, Hospice News reported June 12. Citing a study from the Office of the Actuary (OACT) at the Centers for Medicare and Medicaid Services (CMS), the outlet reports that healthcare spending’s share of GDP is projected to rise from 17.6%…

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By: Matt Danford
June 13, 2024
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Doctors hit by cyberattack seek legal action against UnitedHealth

Editor's Note Doctors are urging the American Medical Association (AMA) to take legal action or otherwise help recoup their losses from the February 21 Cyberattack on Change Healthcare, a division of United HealthGroup. Forbes reported the news June 3. The article cites a a resolution before the AMA’s reference committee on amendments…

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By: Matt Danford
June 5, 2024
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Hospital margins, ED visits up, length of stay down in April, Kaufman report reveals

Editor's Note The median hospital margin of 3.8% for April is an improvement over the previous month and year-over-year, according to the latest National Hospital Flash Report from Kaufman Hall. Compiled by Kaufman and Syntellis Performance Solutions (now part of Strata), the monthly report analyzes 3 years’ worth of both…

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By: Matt Danford
June 4, 2024
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Built to grow: Key elements of planning a new ASC

Are you part of the ambulatory surgery center (ASC) construction boom? Approximately 116 new facilities opened in 2023, according to Becker’s ASC Review, and more are planned for and underway in 2024. The upward trend shows no signs of slowing. Fortune Business Insights projects the US ambulatory surgery center market…

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By: Brendan Dooley
May 24, 2024
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Supply chain stress fractures demand rock-solid continuity planning

More than 4 years after personal protective equipment production and inventories crashed amid the global COVID-19 pandemic, the “new normal” in healthcare supply chains seems to be “uncertainty.” Although hospital margins are improving and patient volumes are trending upward, “stress fractures continue to remain in place,” says Michael Schiller, CMRP,…

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By: Marisa Torrieri
May 24, 2024
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RAND study reveals private payers pay 250% more than Medicare for healthcare services

Editor's Note A recent analysis by the RAND Corporation, a research and analysis nonprofit, revealed a disparity between hospital and ambulatory surgery center (ASC) prices paid by employers and private payers compared to Medicare prices, Revcycle Intelligence May 15 reports. The study, covering data from 2020 to 2022, showed private…

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By: Tarsilla Moura
May 22, 2024
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Cybersecurity initiative devotes $50 million to help hospitals combat ransomware

Editor's Note A $50 million initiative to develop cybersecurity tools for hospitals aims to protect providers and patients alike from ransomware, according to a May 20 report in Becker’s Health IT. The Universal PatchinG and Remediation for Autonomous DEfense, or UPGRADE, program was launched the same day by the Advanced Research…

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By: Matt Danford
May 20, 2024
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Carbon-conscious health systems phase out desflurane anesthesia gas to reduce emissions

Editor's Note Citing environmental concerns, multiple health systems have stopped using desflurane anesthesia gas, Becker’s Hospital Review reported on May 7. Citing the Philadelphia Inquirer, the outlet notes that Children's Hospital of Philadelphia and Marlton, N.J.-based Virtua Health are among those that have eliminated the gas so far, with the…

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By: Matt Danford
May 15, 2024
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