Tag: Healthcare costs

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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Nearly half of US physicians now work for large systems: GAO links consolidation to higher costs

Editor's Note Physician independence continues to decline as hospitals, insurers, and private equity firms expand their ownership of medical practices, according to a US Government Accountability Office (GAO) report published on September 22. The report found that 47% of physicians were employed by or affiliated with hospital systems in 2024,…

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By: Tarsilla Moura
October 14, 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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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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OR Manager Conference delivers ready-to-use solutions for perioperative leaders

Editor's Note This year, the OR Manager Conference promises playbooks attendees can put to work the day they return home. The event, being held in Anaheim on October 28–30, targets the system-level goals perioperative leaders are accountable for: capacity, cost, culture, and safety across multi-site enterprises. Attendees will get concrete…

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By: Tarsilla Moura
October 8, 2025
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Study: Outpatient surgery costs hinge on site of care, network status

Editor's Note Patients and insurers pay far less for outpatient surgical procedures performed at in-network ambulatory surgery centers (ASCs) than at hospital outpatient departments (HOPDs), the American Journal of Managed Care October 6 reports. This study, led by Xiaoxi Zhao, PhD, Christopher Whaley, PhD, and colleagues, analyzed commercial claims data…

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By: Tarsilla Moura
October 8, 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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US launches tariff investigations into medical supplies and devices, raising stakes for healthcare supply chain

Editor's Note The US Department of Commerce has initiated national security investigations that could trigger new tariffs on a wide range of imported medical products, with potentially far-reaching effects for healthcare providers, Reuters September 24 reports. The probes, opened under Section 232 of the Trade Expansion Act of 1962, cover…

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By: Tarsilla Moura
October 2, 2025
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Keeping sensory aids in place during surgery reduces delirium risk in older hip fracture patients

Editor's Note Allowing older surgical patients to keep dentures, glasses, and hearing aids until anesthesia and restoring them immediately afterward significantly lowered postoperative delirium (POD) rates, according to a study published in BMC Geriatrics on August 30. The prospective before-and-after trial followed patients aged 70 and older undergoing hip fracture…

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By: Tarsilla Moura
September 25, 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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