Tag: Cost

Rural hospitals contend with challenging opportunities

Rural hospitals in the US have been facing a prolonged, multifaceted crisis. The literature presents several reasons for why healthcare facilities in rural areas struggle, including shrinking budgets, rising chronic illness and public health issues like addiction and obesity, poor telehealth and broadband access, aging populations, deteriorating mental health, and…

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By: David C. Walsh
June 24, 2024
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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,…

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By: Tarsilla Sampaio Moura
June 18, 2024
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Doctors hit by cyberattack seek legal action against UnitedHealth

Editor's Note Doctors are urging the American Medical Association (AMA) to take legal action or otherwise help recoup their losses from the February 21 Cyberattack on Change Healthcare, a division of United HealthGroup. Forbes reported the news June 3. The article cites a a resolution before the AMA’s reference committee on amendments…

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By: Matt Danford
June 5, 2024
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Per-person healthcare spending grows nearly 19% in 5 years

Editor's Note Average prices for healthcare services trended upward from 2018 to 2022 despite fluctuations in utilization of service, according to the annual Health Care Cost and Utilization Report (HCCUR) from the Health Care Cost Institute (HCCI). In the same timeframe, per-person spending increased nearly 19%. "Prices, in particular, pose a…

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By: Matt Danford
May 2, 2024
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Share your expertise! Topics, speakers sought for 2025 ORBMC

Editor's Note If you’d like the opportunity to share process improvement initiatives, best practices, or in-depth case studies of what perioperative success looks like, now’s the time to start planning. The program committee for the OR Business Management Conference is now accepting abstract proposals for presentations at the 2025 event,…

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By: Kaitlin Sennello
April 22, 2024
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Private payers profit by delaying medical claims

Editor's Note Private payers initially deny reimbursement on 15% of claims, only to later approve more than half of those initial denials, according to a national survey of healthcare institutions published March 21 by Premiere, Inc. Additionally, the denied claims on average tend to be more prevalent for higher-cost treatments…

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By: Matt Danford
April 4, 2024
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Study: Postoperative hospital readmissions higher for older Americans

JAMA (healthcare publication) Network logo

Editor's Note Older Americans are at heightened risk for both short-term and long-term hospital readmission following major surgery, according to a study from Yale University published February 28 in Jama Network Open.   Readmission places a major financial strain on health systems, researchers write, pointing out that the total cost…

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By: Brita Belli
March 27, 2024
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Study: Propofol sedation increases colonoscopy costs without improving outcomes

Editor's Note Although the use of propofol for colonoscopy has been rising due to beliefs that deep sedation leads to greater patient comfort, a recent systematic review and meta-analysis of nearly 1,500 patients from nine randomized controlled trials shows this view is not supported by available evidence. Published March 8…

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By: Matt Danford
March 25, 2024
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Editorial: OR Business Management Conference tackled financial challenges, technological innovations

This past February, the OR Business Management Conference, held in Phoenix, Arizona, brought together business managers of all walks of life. The intimate event was once again a symbiotic blend between financial- and business-centric education and high-quality networking. The education offered for seasoned and new business leaders alike, perhaps more…

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By: Tarsilla Moura
March 22, 2024
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Survey reveals broad impact of Change Healthcare cyberattack

Editor's Note The recent cyberattack on Change Healthcare created a financial impact for the lion’s share of US hospitals surveyed recently by the American Hospital Association, with more than half reporting “significant or serious” impact and three of every four also reporting direct impacts on patient care. These data reflect…

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By: Matt Danford
March 18, 2024
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