Understanding bipartisan push for site-neutral Medicare payments aiming to curb healthcare costs, consolidation
Editor's Note Amid growing concerns over healthcare spending and affordability, there is bipartisan interest in aligning Medicare payments for outpatient services across various care settings through "site-neutral" payments, KFF June 14 reports. As a June 2023 Modern Healthcare article explains, last year Congress reviewed legislation to expand site-neutral payment policies,…
RAND study reveals private payers pay 250% more than Medicare for healthcare services
Editor's Note A recent analysis by the RAND Corporation, a research and analysis nonprofit, revealed a disparity between hospital and ambulatory surgery center (ASC) prices paid by employers and private payers compared to Medicare prices, Revcycle Intelligence May 15 reports. The study, covering data from 2020 to 2022, showed private…
Robotic-assisted total knee replacements: Improved outcomes, higher costs
Editor's Note A new study from UT Southwestern Medical Center shows that total knee replacements performed with the aid of surgical robots generally yield better outcomes compared to traditional manual procedures, but at a higher cost, UT Southwestern’s Newsroom May 7 reports. Published in the Archives of Orthopaedic and Trauma…
Colonoscopy fees higher for hospitals than ASCs, study finds
Editor’s Note US hospitals charge approximately 55% higher average fees than ambulatory surgical centers (ASCs) for colonoscopies covered by private health insurance. The findings, from the Johns Hopkins Bloomberg School of Public Health, appeared as a research letter in JAMA Health Forum on December 15. The analysis is one of…
Breaking down pain treatments in the OR and ASC
Pain treatments have applications in traditional hospital OR settings and ambulatory surgery centers (ASCs). “The choice of setting depends on the specific needs of the patient, the type of procedure being performed, and the resources available,” says Wang Lushun, MD, senior consultant orthopedic surgeon at Arete Orthopaedic Centre in Singapore.…
A closer look at variations in regional health insurance prices
Editor's Note This new study in JAMA Health Forum is one of the first to review publicly available insurer price data and compare regional rate differences. The research was published by JAMA Network on October 27. Following are some highlights: Over half of the US population receives health insurance from…
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