CMS

Latest Issue of OR Manager
February 2022

Hospitals, ASCs face tough decisions in wake of vaccine mandates

Health systems across the country are enacting COVID-19 mandates to comply with a broad-sweeping federal requirement. Amid reports of high compliance rates, the mandate has triggered passionate and visceral responses on both sides of the debate. While some healthcare employees are eager to roll up their sleeves, others decry the…

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By: Jennifer Lubell
November 17, 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: COVID-19 vaccine mandates for Medicare providers

Editor's Note The Centers for Medicare and Medicaid Services (CMS), on Novermber 4, released regulations that will require Medicare-participating providers to ensure their staff members are fully vaccinated against COVID-19. CMS says: “Facilities covered by this regulation must establish a policy ensuring all eligible staff have received the first dose…

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By: Judy Mathias
November 4, 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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The Joint Commission using hybrid survey for document review

Editor's Note The Joint Commission, on October 6, announced that it has begun using a hybrid approach with a document review surveyor during deemed hospital re-accreditation surveys meeting eligibility criteria, primarily a fully electronic health record (EHR). The hybrid approach consists of a surveyor working remotely (via Zoom or Microsoft…

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By: Judy Mathias
October 7, 2021
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Changes in hospital-acquired conditions, mortality after HACRP

Editor's Note In this study, researchers from the University of Michigan, Ann Arbor, find that hospital-acquired conditions (HACs) targeted by the Centers for Medicare and Medicaid Services (CMS) Hospital-Acquired Condition Reduction Program (HACRP) declined after the program was announced, but 30-day mortality was unchanged. The analysis included 8,857,877 Medicare beneficiaries…

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By: Judy Mathias
October 6, 2021
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Effect of interruptions in Medicare patient treatment during COVID-19 on physicians, practices

Editor's Note This study from the University of Minnesota School of Public Health, Minneapolis, and Harvard Medical School, Boston, finds that practice interruptions in the treatment of Medicare patients spiked in April 2020, and interruption-without-return rates were larger for older physicians. In this analysis of 547,849 physicians billing Medicare: Practice…

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By: Judy Mathias
September 21, 2021
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Widening of racial, socioeconomic healthcare gap for organ transplant patients during COVID-19

Editor's Note This study led by researchers at the University of Texas Southwestern Medical Center, Dallas, finds that although COVID-19’s effect on access to liver transplantation has been all-pervasive, minorities have been disproportionately affected—especially those with public insurance. During the initial wave of COVID-19, organ transplantation was classified as a…

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By: Judy Mathias
September 16, 2021
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Latest Issue of OR Manager
February 2022
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