Law & Legislation

Latest Issue of OR Manager
October 2023
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Effect of Medicaid expansion on reductions in preventable hospitalizations

Editor's Note This study, led by researchers at Wake Forest University School of Medicine, Winston-Salem, North Carolina, examines whether Affordable Care Act Medicaid expansion among Black, Hispanic, and White patients led to reductions in preventable hospitalizations. Data on census population and hospitalizations for ambulatory care sensitive conditions from 2010 to…

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By: Judy Mathias
September 13, 2023
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New CMS rule focuses on postop opioids in outpatient settings

Editor's Note The Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act, which is set to take effect in 2025, will set up a separate Centers for Medicare and Medicaid Services (CMS) payment for certain nonopioid pain management techniques in outpatient and ambulatory surgery center (ASC) settings, the September 12 Becker’s…

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By: Judy Mathias
September 12, 2023
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Market forces affecting the ambulatory surgery industry

Ambulatory is the term the industry is “stuck with” because that is the name the founders came up with in 1970, says David Shapiro, MD, CASC, CPHRM, LHR, an anesthesiologist with extensive experience in ambulatory surgery management and a member of the Accreditation Association for Ambulatory Health Care (AAAHC) board.…

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By: Judith M. Mathias, MA, BS, RN
August 21, 2023
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Study: Physician-owned hospitals have worse readmissions, other quality metrics

Editor's Note According to a study from health economics consulting firm Dobson | DaVanzo, submitted to the American Hospital Association (AHA) on August 1, physician-owned hospitals (POHs) "publicly report on fewer Medicare quality measures and perform worse on readmission penalties than full-service community hospitals" AHA August 3 reports. "The study…

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By: Tarsilla Moura
August 4, 2023
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ACS: 19 surgical organizations oppose CMS code G2211

Editor's Note The American College of Surgeons (ACS) announced, on July 26, that it and 18 other surgical organizations sent a letter to the Centers for Medicare & Medicaid Services (CMS), strongly opposing implementation of its code G2211. The G2211 code is an effort by CMS to pay more for…

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By: Judy Mathias
July 26, 2023
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Pandemic experiences of infections preventionists resulted in moral distress

Editor's Note This study, led by nurse researchers at the College of Nursing, University of Wisconsin-Milwaukee, explores the experiences of infection preventionists (IPs) during the COVID-19 pandemic. Responses from 61 IPs surveyed were included in the analysis. Among the findings: The initial phases of COVID-19 was a time of clinical…

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By: Judy Mathias
July 25, 2023
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Predictors of COVID-19 booster uptake by nurses

Editor's Note This study by researchers at South Dakota State University, Brookings, investigates why COVID-19 booster uptake has been a challenge among nurses. A total of 1,084 nurses were included in the analysis. Results showed that the odds ratio (OR) for booster uptake was associated with: Partisan self-identification (OR 0.40)…

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By: Judy Mathias
July 24, 2023
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Price transparency in surgical settings

Takeaways • Healthcare consumers are not aware that they can ask how much something costs. • There is disconnect between the law and common knowledge, and patients generally are confused about what they receive as good faith estimates. • In addition to incorrect CPT codes and OON allowable charges, the…

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By: Uyen Vo, BSN, MBA
July 20, 2023
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ANA, AMA, others react to SCOTUS ruling on affirmative action

Editor's Note Since the divisive ruling on affirmative action from the US Supreme Court (SCOTUS) on June 29, which stated that "colleges and universities can no longer take race into consideration as a specific basis in admissions—a landmark decision that will have profound impacts on higher education institutions including medical…

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By: Tarsilla Moura
July 6, 2023
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AHA urges EPA to ensure proposed EtO standards don’t disrupt healthcare delivery

Editor's Note In a June 27 letter, the American Hospital Association (AHA) urged the Environmental Protection Agency (EPA) “to avoid disrupting healthcare delivery through the unintentional fracturing” of the medical device supply chain with its proposed ethylene oxide (EtO) standards. The EPA proposes: reducing EtO emissions by 80% adding new…

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By: Judy Mathias
June 29, 2023
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