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November 2025
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Private equity bets big on outpatient cardiology as CMS boosts reimbursements

Editor's Note Private equity firms are accelerating their push into outpatient cardiology, lured by reimbursement trends and a fragmented market but shadowed by concerns about patient outcomes and financial motives, Modern Healthcare October 16 reports. Investor activity in cardiology has surged alongside the Centers for Medicare & Medicaid Services (CMS)…

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By: Tarsilla Moura
October 22, 2025
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AI-driven CMS pilot model could slow ASC care despite fraud-fighting goals

Editor's Note The Centers for Medicare & Medicaid Services (CMS) is enlisting artificial intelligence (AI) to combat wasteful spending, but ambulatory surgery centers (ASCs) warn the plan could slow care and increase administrative strain, Ambulatory Surgery Center News October 20 reports. The agency’s new Wasteful and Inappropriate Service Reduction (WISeR)…

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By: Tarsilla Moura
October 22, 2025
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Governors form alliance to fill federal public health gaps amid cuts, shutdown

Editor's Note Fifteen states and territories are banding together to rebuild the nation’s weakened public health infrastructure as federal support falters, CIDRAP October 17 reports from October 15 Wall Street Journal coverage. According to the news, Democratic governors have launched the Governors Public Health Alliance, a nonpartisan, nonprofit effort to…

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By: Tarsilla Moura
October 21, 2025
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UnitedHealthcare anesthesia cuts spark backlash over patient access risks

Editor's Note UnitedHealthcare’s 15% cut to certified registered nurse anesthetist (CRNA) reimbursements has ignited strong opposition from anesthesia leaders who warn the policy could endanger patient access to safe, affordable care in rural and underserved areas, Nurse.org October 14 reports. On October 1, UnitedHealthcare implemented the new policy, reducing payments…

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By: Tarsilla Moura
October 21, 2025
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CDC layoffs cripple national injury and overdose tracking, leaving prevention efforts in doubt

Editor's Note Sweeping layoffs at the Centers for Disease Control and Prevention (CDC) have gutted the agency’s ability to track overdoses, injuries, and violent deaths, Axios October 15 reports. The National Center for Injury Prevention and Control, once a cornerstone of public health surveillance, now operates with roughly one-third of…

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By: Tarsilla Moura
October 15, 2025
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The Joint Commission makes nurse staffing a national performance goal for 2026

Editor's Note The Joint Commission has made nurse staffing a national benchmark for hospital accreditation, formally recognizing it as a core measure of patient safety and care quality, Nurse.org October 13 reports. For the first time, hospitals must meet specific staffing standards to earn or maintain accreditation. Under the new…

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By: Tarsilla Moura
October 15, 2025
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Telehealth in limbo: Providers split on continuing Medicare services during shutdown

Editor's Note Telehealth providers are divided over whether to continue serving Medicare patients after reimbursement expired alongside the federal government shutdown, Modern Healthcare October 9 reports. The impasse has forced organizations to weigh patient access against financial risk, with many issuing advance beneficiary notices warning patients they may be responsible…

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By: Tarsilla Moura
October 15, 2025
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States take aim at outpatient facility fees driving higher commercial health costs

Editor's Note States are sharpening their focus on outpatient facility fees, using new data and reporting mandates to expose how these charges inflate commercial healthcare spending, HealthAffairs October 6 reports. Specifically, Colorado, Maine, Connecticut, and Washington have launched varied but increasingly sophisticated efforts to monitor when and where hospitals bill…

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By: Tarsilla Moura
October 15, 2025
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Nearly half of US physicians now work for large systems: GAO links consolidation to higher costs

Editor's Note Physician independence continues to decline as hospitals, insurers, and private equity firms expand their ownership of medical practices, according to a US Government Accountability Office (GAO) report published on September 22. The report found that 47% of physicians were employed by or affiliated with hospital systems in 2024,…

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By: Tarsilla Moura
October 14, 2025
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Sustainable surgery can cut costs, reduce emissions, improve care, review finds

Editor's Note Surgical teams can dramatically reduce healthcare’s carbon footprint through waste reduction, energy efficiency, and smarter procurement, Cureus October 7 reports. The review’s authors describe surgery as both a major environmental challenge and a key opportunity for hospitals to align climate responsibility with clinical and financial goals. Healthcare contributes…

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By: Tarsilla Moura
October 14, 2025
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