Reimbursement

Latest Issue of OR Manager
February 2022
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Trends in ambulatory care during COVID-19

Editor's Note This study, led by researchers at UCLA David Geffen School of Medicine, finds that the use of ambulatory care services between March 2020 and February 2021 increased after an initial decrease with the onset of COVID-19. However, the rate of increase was significantly lower for Medicaid and/or Medicare…

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By: Judy Mathias
January 19, 2022
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Takeaways and lessons learned from OR Manager Conference

After more than a year in hiatus, OR Manager Conference was held in October 2021 in Chicago, bringing together hundreds of attendees, speakers, and exhibitors. After the live conference, OR Manager sat down with Cindy Kildgore, education coordinator for the OR Manager Conference; Amy Bethel, education coordinator for the OR…

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By: Tarsilla Moura
December 16, 2021
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Are spinal procedures the wave of the future for ASCs?

Looking toward 2022, spine procedures are expected to drive growth and optimize performance in ambulatory surgery centers (ASCs). Michael Ast, MD, chief medical innovation officer for HSS, Hospital for Special Surgery in New York, can attest to this personally. A year ago, his father could not even walk up a…

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By: Jennifer Lubell
December 16, 2021
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COVID-19 vaccine mandate for HCWs blocked in 10 states

Editor's Note A federal judge, on November 29, blocked a Centers for Medicare & Medicaid Services (CMS) mandate requiring COVID-19 vaccinations for healthcare workers (HCWs) in facilities participating in CMS programs in 10 states, the November 29 Bloomberg Law reports. In his ruling, the judge says the CMS mandate requires…

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By: Judy Mathias
November 30, 2021
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New value-based models allow for surgeon buy-in, cost savings

The growth of value-based healthcare models is changing the way physicians and hospitals provide care. In value-based models, providers are paid based on patient outcomes. The “value” is derived from measuring health outcomes against the cost of delivering the outcomes. This balancing act has now become more achievable with new…

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By: Judith M. Mathias, MA, RN
November 17, 2021
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Cleveland Clinic mandates COVID-19 vaccinations for US employees

Editor's Note Cleveland Clinic, on November 12, announced that it is requiring all US employees and those who provide services with Cleveland Clinic to receive the COVID-19 vaccine by January 4, 2022. In accordance with federal mandates from the Centers for Medicare & Medicaid Services, employees who are not fully…

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By: Judy Mathias
November 15, 2021
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CMS releases final Medicare payment rule for ASCs, HOPDs

Editor's Note The Centers for Medicare and Medicaid Services (CMS), on November 2, released its 2022 final payment rule for ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). The final rule increases Medicare prospective payment system rates by a net 2.0%—a combination of a 2.7% inflation update based on…

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By: Judy Mathias
November 3, 2021
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CMS penalizes nearly half of all hospitals for high readmission rates

Editor's Note In FY 2022, the Centers for Medicare and Medicaid Services (CMS) will penalize 2,499 (47%) hospitals for excessive patient readmissions, the October 28 Kaiser Health News reports. In its 10th year of the Hospital Readmissions Reduction Program, CMS will cut payments to the penalized hospitals by as much…

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By: Judy Mathias
November 1, 2021
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How might telehealth alter approaches to surgical patient care?

Telehealth services grew exponentially in the early days of the COVID-19 pandemic. Overall telehealth utilization for office visits and outpatient care was 78 times higher in April 2020 than in February 2020, according to a McKinsey & Company July 2021 report. Since then, telehealth utilization has stabilized at levels that…

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By: Elizabeth Wood
September 21, 2021
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Act now to address predicted gaps in anesthesiology coverage

Perioperative services leaders have their hands full with a range of pressing issues, from the return of elective case cancellations to new struggles with staff turnover. However, an even bigger problem is flying under the radar for many hospitals—impending changes in the market for anesthesiology services. Several factors are coming…

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By: Joshua Miller, MD, Thomas Blasco, MD, MS and Kartik Bhatt, MPH
September 21, 2021
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