Costs & Cost Controls
Study: No advantages to robotic-assisted nephrectomy
Editor's Note Robotic-assisted nephrectomy is more expensive and takes longer than conventional laparoscopic nephrectomy and confers no additional benefits, this study finds. The proportion of robotic-assisted nephrectomies increased from 1.5% in 2003 to 27% in 2015. Of 23,753 patients analyzed, no significant differences were found in major postoperative complications between…
Track ASC metrics to produce a healthy bottom line
Each day seems to bring new tasks for leaders of ambulatory surgery centers (ASCs), adding to their already overflowing plate. One task that can easily fall off that plate is collecting and analyzing metrics, yet failing to do so can have serious financial consequences. OR Manager recently asked ASC leaders…
Low-cost, high-volume services account for most of unnecessary healthcare spending
Editor's Note Low-cost, high-volume healthcare services account for a high percentage of unnecessary spending, adding strain to the healthcare system, this study finds. In this analysis of 5.5 million patients in Virginia, researchers found that services providing no net health benefits cost the state’s healthcare system more than $586 million…
Factors linked to readmission after total hip
Editor's Note All-cause readmission is the only metric in widespread use, but it overlooks important information that enables readmission risk to be understood, this study finds. Of 514,455 patients in the UK analyzed over a 10-year period, there were 30,489 all-cause readmissions, 16,499 readmissions related to the surgical site, and…
ECRI Institute's new SERVICEguide helps reduce costs of outsourced services
Editor's Note SERVICEguide is the ECRI Institute’s new membership-based advisory service that helps hospitals maintain and manage their outsourced services. SERVICEguide includes an interactive assessment dashboard with spend analytics that reveal the highest potential areas for savings. Recently, for example, ECRI Institute helped a large healthcare system save more than…
Editorial
Since July, when repeal and replacement of the Affordable Care Act (ACA) stalled, healthcare reform has been somewhat overshadowed by events such as natural disasters and concerns about national security. Now, with insurers due to announce rates for the coming year, Congress is working on a bill to stabilize the…
Price transparency tool did not reduce spending for California public employees, retirees
Editor's Note Offering a price transparency tool to California public employees and retirees that focused on services such as lab tests, office visits, and advanced imaging services did not lower spending, this study finds. Only 12% of employees used it in the first 15 months after it was introduced, and…
California county goes surgery shopping
Editor's Note California's Santa Barbara County and other government employers are joining private employers in shopping for lower-cost bundled surgical care, even if it means going out of town, the September 1 Kaiser Health News reports. The voluntary program that includes incentives such as waived copays and deductibles as well…
Costs vary widely for common surgical procedures
Editor's Note There is wide cost variation for five common surgical procedures in the US, this study finds. Cost observed-to-expected ratios ranged widely: 14.9-fold for colectomy 5.5-fold for coronary artery bypass graft (CABG) 12.5-fold for lung resection 10.6-fold for total knee arthroplasty 28.0-fold for cesarean section. High-cost hospitals were more…
Payment variation in CABG episodes of care can affect bundled payments
Editor's Note Wide variation was found in 90-day coronary artery bypass grafting (CABG) episode payments for Medicare and private payer patients in this study. The differences were driven by increased use of evaluation and management services, higher utilization of inpatient rehabilitation, and patients with multiple readmissions. In the analysis of…
Free Daily News
- Artificial disc replacement proves safe, efficient, cost-saving in outpatient spine surgery
- Hospital-affiliated doctors drive highest costs by avoiding lower-cost sites
- Imposter syndrome widespread among surgical trainees, disproportionately affects women
- Global nursing workforce grows but inequities jeopardize health progress
- Largest US healthcare fraud case reveals billions in false Medicare, Medicaid claims and vast schemes nationwide
- Hospital margins improve as outpatient revenue accelerates, but costs loom
- Breast cancer surgery delays tied to higher upstaging, faster tumor growth
- Exercise programs ease stress and burnout for nurses, review finds
- WHO and robotic surgery society partner to expand global access to telesurgery
- Health systems lean toward established partners for AI adoption