Costs & Cost Controls

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November 2025
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PSH initiative demonstrates measurable impact on quality, costs

Editor's Note The American Society of Anesthesiologists and Premiere on February 9 announced results from the first phase of the Perioperative Surgical Home (PSH) learning collaborative. The collaborative included 44 healthcare organizations that piloted and evaluated the PSH model from July 2014 through November 2015. Many members of the collaborative…

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By: Judy Mathias
February 9, 2016
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Reliability of cost profiles for surgery based on Medicare data

Editor's Note Medicare data on payments for inpatient surgery are a reliable measure of hospital costs for commonly performed procedures, but are less reliable for lower volume procedures, this study finds. With increased emphasis on shifting risk from payers to providers through bundled payments and accountable care organizations, hospitals are…

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By: Judy Mathias
January 14, 2016
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Study: Implementation costs of ERAS program

Editor's Note Enhanced recovery after surgery (ERAS) programs have led to reduction in length of stay and improved outcomes. This study finds that investment in an ERAS program also leads to financial savings. Despite positive results from international ERAS programs, the US has been slow to adopt such programs, in…

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By: Judy Mathias
January 8, 2016
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Fine print in supply contracts often holds keys to cost savings

When it comes to buying medical-surgical supplies, quality, safety, and physician comfort are foremost—but that doesn’t mean price is no object. Even though ambulatory surgery center (ASC) staff often lack materials management expertise, they can achieve cost savings in several ways, especially if they brush up on terms used in…

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By: Paula DeJohn
December 16, 2015
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ECRI Institute projects $80 billion spend on new drugs, devices

Editor's Note Annual spending on a group of new drug and device therapies may exceed $80 billion if they all make it to market, according to a new report by ECRI Institute. ECRI Institute analyzed the costs of 47 of 700 healthcare interventions with the potential for high impact that…

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By: Judy Mathias
December 3, 2015
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Cost-effectiveness of enhanced recovery for colorectal patients

Editor's Note Enhanced recovery pathways are cost-effective compared with conventional perioperative management of colorectal patients, this study finds. Of 180 patients analyzed, mean length of stay was shorter (6.5 vs 9.8 days), return to work was quicker, and there was less care giver burden in the enhanced recovery group. The…

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By: Judy Mathias
November 11, 2015
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Study: Healthcare costs plummet after bariatric surgery

Editor's Note Obese patients who had gastric bypass surgery cut their healthcare costs nearly 40% after 4 years and 80% if they had type 2 diabetes preoperatively, finds this study presented at Obesity Week 2015, which is hosted by the American Society for Metabolic and Bariatric Surgery. The main reduction…

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By: Judy Mathias
November 6, 2015
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Electronic tracking system reduces blood transfusions, infections

Editor's Note An electronic blood tracking system that monitors how physicians prescribe postoperative blood transfusions significantly reduced the amount of blood patients receive and cut infection rates in half, according to a study presented October 7 at the 2015 Clinical Congress of the American College of Surgeons in Chicago. The…

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By: Judy Mathias
October 9, 2015
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Achieving quality improvement depends on the local culture

The key to sustaining quality outcomes is promoting confidence and engagement of surgical teams, says Clifford Ko, MD, MS, MSHS, FACS, director of the National Surgical Quality Improvement Program and Division of Research and Optimal Patient Care, at the American College of Surgeons in Chicago. Dr Ko gave the keynote…

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By: Judy Mathias
October 8, 2015
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ASCs reduce spine surgery costs, maintain quality

Editor's Note A study presented at the Congress of Neurological Surgeons annual meeting found that performing spine procedures in ambulatory surgery centers (ASCs) can reduce costs while sustaining patient satisfaction scores, Spine Surgery Today reports. Of 1,000 spine procedures performed in an ASC, eight patients had to be transferred to…

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By: Judy Mathias
October 7, 2015
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