Tag: Cost-effectiveness

New planning tool aims to boost success of surgical quality improvement projects

Editor's Note A newly developed framework could significantly strengthen the planning phase of small-scale surgical quality improvement (QI) projects, which often falter due to inadequate preparation, MedicalXpress October 16 reports. According to a report from the American College of Surgeons (ACS), published in the Journal of the American College of…

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By: Tarsilla Moura
November 3, 2025
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CMS launches 6-year model to curb wasteful Medicare spending with AI-driven reviews

Centers for Medicare & Medicaid Services

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced the launch of a new model using artificial intelligence (AI) to target unnecessary Medicare spending, the agency reported in an October 17 update. The voluntary model will run from January 1, 2026, through December 31, 2031, and aims to…

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By: Tarsilla Moura
October 23, 2025
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Ambient AI turns burnout relief into 'hard ROI' at Seattle Children’s

Editor's Note Seattle Children's Hospital is tying ambient AI return on investment (ROI) to real money by targeting burnout, retention, and documentation burden to avoid multimillion-dollar turnover costs and lift data quality, HealthLeaders October 21 reports. Per the outlet, Seattle Children’s is expanding Abridge’s ambient AI across 18 pediatric specialties…

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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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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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Study: Hospitals can safely cut low-value preop tests before routine surgeries

Editor's Note A new study shows hospitals can meaningfully reduce unnecessary preoperative testing for healthy patients undergoing low-risk surgeries without compromising safety or workflow, JAMA Network October 6 reports. The “Right-Sizing Testing Before Elective Surgery” (RITE-Size) strategy successfully lowered testing rates from 68.0% to 40.3% across three Michigan hospitals, while…

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By: Tarsilla Moura
October 17, 2025
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Study finds Medicare paid nearly $2 billion for unnecessary back surgeries

Editor's Note More than 200,000 older Americans underwent back surgeries they likely did need, costing Medicare and Medicare Advantage a combined $1.9 billion, Axios October 9 reports. The findings, based on an analysis by the Lown Institute, raise new concerns about overuse of high-cost procedures with limited benefit, as federal…

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By: Tarsilla Moura
October 10, 2025
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Tray-based setups cut OR waste, setup time while boosting workflow satisfaction

Editor's Note Introducing preassembled surgical trays sharply reduces OR waste and setup time while improving staff workflow satisfaction, Surgeries October 8 reports. The prospective study, conducted in a high-volume German urology center, compared tray-based setups with the “standard approach” for preparation across 64 procedures and found measurable ecological and operational…

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By: Tarsilla Moura
October 9, 2025
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Private equity is reshaping ASCs, raising cost and antitrust concerns

Editor's Note Private equity is driving a quiet but powerful transformation in the $30 billion ambulatory surgery center (ASC) market, heightening risks of higher costs and reduced competition, an October 2025 research brief from the Private Equity Stakeholder Project (PESP) reports. It warns that Wall-Street-backed consolidation and opaque ownership structures…

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By: Tarsilla Moura
October 8, 2025
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Sports medicine procedures cost far less in ASCs than HOPDs

Editor's Note Sports medicine surgical procedures for Medicare patients cost significantly less in ambulatory surgery centers (ASCs) compared with hospital outpatient departments (HOPDs), according to a study published by the Orthopaedic Journal of Sports Medicine on August 29. Researchers analyzed Medicare Procedure Price Lookup data for 62 commonly billed outpatient…

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By: Tarsilla Moura
October 1, 2025
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