Costs & Cost Controls

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September 2025
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CMS payment overhaul could cut specialist pay

Editor's Note A “quiet transformation” in how Medicare pays doctors could reduce payments for specialty care, including rates for billing codes associated with surgery, diagnostic imaging, outpatient care, pain management, and orthopedics, Modern Healthcare July 22 reports. According to the article, The Centers for Medicare and Medicaid Services (CMS) 2026…

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By: Matt Danford
July 24, 2025
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Navigating OR construction design, compliance, approval in a booming ASC market

Editor’s Note: This page is a companion piece to the main article, Proper planning prevents OR construction, renovation cost creep. It brings together four focused updates on OR and ambulatory surgery center (ASC) construction and renovation: Regulatory shifts: The Joint Commission's updated safety and sustainability requirements for hospitals and ASCs, including new…

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By: Uyen Vo
July 23, 2025
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Proper planning prevents OR construction, renovation cost creep

How would you describe the ideal OR? Whatever the answer, the chance to reimagine and reshape the perioperative suite can be among the most exciting projects of a perioperative leader’s career. However, OR construction and renovation also can be among the most daunting projects of a perioperative leader’s career. Just…

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By: Uyen Vo
July 23, 2025
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CMS proposes 2026 Medicare pay bump, targets wasteful spending

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has proposed a 3.62% increase to the 2026 Medicare physician fee schedule, according to a July 14 article in Fierce Healthcare. The proposed rule sets the conversion factor at $33.42, up from $32.35 in 2025. The increase reflects a 2.5%…

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By: Matt Danford
July 15, 2025
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Hospital M&A climbs as rural, outpatient shifts reshape care strategies

Editor's Note Hospital mergers and acquisitions saw a slight increase in Q2 2025, but broader shifts in healthcare affiliations and delivery models continue to gather momentum, according to a July 10 Kaufman Hall analysis of M&A activity for the second quarter of 2025. The report recorded eight hospital and health…

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By: Matt Danford
July 15, 2025
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Children’s hospitals warn of care limits as Medicaid changes take hold

Editor's Note Children’s hospitals are warning that newly enacted federal healthcare cuts will force them to scale back essential services and programs, jeopardizing care for the very populations Medicaid was designed to protect. The law, signed by former President Donald Trump and detailed in a July 9 article in Modern…

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By: Matt Danford
July 14, 2025
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Inflation pushes health systems toward financial austerity

Editor's Note US hospitals and health systems are facing growing financial pressure as inflation drives costs faster than reimbursement can keep up, according to a July 10 article in Health Affairs.   Although growing steadily, healthcare spending has been largely stable when measured as a percentage of gross domestic product…

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By: Matt Danford
July 11, 2025
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Health systems slash jobs amid mounting financial pressures

Editor's Note A recent report in Becker’s Hospital Review outlines six recent examples of hospitals and health systems laying off workers in response to deepening financial strain. In a separate report, the outlet listed 11 hospitals and health systems that received credit rating downgrades from Fitch Ratings or Moody’s Investors…

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By: Matt Danford
July 1, 2025
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Mobile ORs can change the game, bridge gaps in surgical care

Imagine an innovative, safe, and highly efficient OR not confined by walls but on wheels—crossing rugged terrains, bustling cities, and disaster-stricken areas to deliver life-saving surgical care in underserved areas. That is the premise and promise of mobile ORs. They are not just mobile units. With some of the technological…

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By: David Cotriss
July 1, 2025
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Healthcare finance leaders shift focus to external threats amid regulatory, economic uncertainty

Editor's Note A new Deloitte report shows healthcare finance leaders are increasingly focused on external business pressures, especially federal policy changes, tariffs, and economic volatility, Chief Healthcare Executive reported June 24. In contrast to prior surveys, where workforce and internal operations were top concerns, 84% of leaders now cite external…

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By: Matt Danford
June 26, 2025
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