Tag: health insurance

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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High prices, not overuse, keep US healthcare costs far above peer nations

Editor's Note The US continues to outspend every other wealthy nation on healthcare, not because Americans use more services but because the prices of those services are far higher, Peterson-KFF Health System Tracker September 4 reports. The analysis compares US healthcare prices and utilization with 11 similarly wealthy countries and…

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By: Tarsilla Moura
October 13, 2025
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California’s worsening nurse shortage fuels burnout, safety concerns amid management tensions

Editor's Note The nursing shortage in California is deepening, with RN vacancies projected to grow from 3.7% in 2024 to 16.7% by 2033, HealthLeaders and KFF Health News October 8 report. The researchers cite inadequate training and retention pipelines, while nurses on the front lines say mismanagement, understaffing, and profit…

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By: Tarsilla Moura
October 9, 2025
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CDC shifts COVID-19 vaccination to individual decision-making, separates chickenpox shot for toddlers

Editor's Note The Centers for Disease Control and Prevention (CDC) has updated its immunization schedules to emphasize individual-based decision-making for COVID-19 vaccination and to recommend that toddlers receive a standalone varicella (chickenpox) vaccine rather than the combined measles, mumps, rubella, and varicella (MMRV) shot, a CDC October 6 release reports.…

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By: Tarsilla Moura
October 7, 2025
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HFMA warns affordability crisis is driving up provider bad debt

Editor's Note According to a Healthcare Financial Management Association (HFMA) analysis, the US healthcare system is in “serious condition,” with affordability collapsing and provider financial risk escalating, HealthLeaders September 19 reports. The group’s new Healthcare Vitals Tracker scored the industry just 35.9 out of 100, compared to a peak of…

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By: Tarsilla Moura
September 24, 2025
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Outpatient artificial disc replacement proves safe, efficient, game-changing for spine surgery

Editor's Note Artificial disc replacement (ADR) no longer requires a hospital stay. In one of the largest analyses to date, a California surgical team reviewed 1,043 outpatient ADR cases over 6 years and found zero immediate hospital transfers, zero transfusions, and every patient discharged home in under 24 hours, LA…

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By: Tarsilla Moura
September 16, 2025
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Five underreported health changes in 'big beautiful bill'

Editor's Note Although the newly enacted One Big Beautiful Bill Act is best known for major Medicaid cuts and a temporary Medicare Physician Fee Schedule increase, it also carries significant policy changes that could affect providers, patients, and the physician workforce, MedPage Today reported July 11. The article lists five…

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By: Matt Danford
July 16, 2025
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Study: Racial, insurance disparities persist in access to buprenorphine after opioid-related events

JAMA (healthcare publication) Network logo

Editor's Note Black and Hispanic patients remain significantly less likely than White patients to receive buprenorphine after an opioid-related health care event, according research published June 26 in JAMA Network Open. Patients with Medicaid or Medicare Advantage also had higher odds of receiving buprenorphine than those with commercial insurance. The…

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By: Matt Danford
July 2, 2025
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DOJ task force, insurers target ASC barriers with parallel reforms

Editor's Note Federal regulators and major insurers are independently moving to ease long-standing burdens on ambulatory surgery centers (ASCs), potentially reshaping the regulatory and administrative landscape in which perioperative leaders operate. According to Ambulatory Surgery Center News June 23, ASC stakeholders are actively engaging with the new Anticompetitive Regulations Task…

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By: Tarsilla Moura
June 25, 2025
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