Tag: Healthcare policy

Session: Helping leaders uphold accountability, cultivate a positive culture to boost nurse retention

Editor's Note Hold everyone to the same standard, model the behavior you expect, and build trust through transparency—that is how OR leaders retain nurses and improve performance, according to this session’s panel that included Taneka Curtis, MHA, BSN, RN, CNOR, nurse manager-cardiac, transplant and vascular service lines, Hospital of the…

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By: Tarsilla Moura
October 30, 2025
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Workshop: Mastering The Joint Commission standards and CMS regulations

Editor's Note Hospitals that succeed in surveys are those that “hardwire safety so you’re not ramping up and down,” said John R. Rosing, MHA, FACHE, executive vice president and principal of Patton Healthcare Consulting. Speaking at the OR Manager Conference, Rosing reminded perioperative leaders, “If we’re really about providing quality…

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By: Tarsilla Moura
October 27, 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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CMS narrows surveys to immediate jeopardy, harm during shutdown

Centers for Medicare & Medicaid Services

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has activated shutdown rules that confine Medicare survey and certification work to health and safety essentials, according to an October 21 memo from the agency. Per the revised memorandum, excepted work during the federal shutdown includes investigations of complaints and…

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By: Tarsilla Moura
October 22, 2025
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Private equity bets big on outpatient cardiology as CMS boosts reimbursements

Editor's Note Private equity firms are accelerating their push into outpatient cardiology, lured by reimbursement trends and a fragmented market but shadowed by concerns about patient outcomes and financial motives, Modern Healthcare October 16 reports. Investor activity in cardiology has surged alongside the Centers for Medicare & Medicaid Services (CMS)…

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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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Governors form alliance to fill federal public health gaps amid cuts, shutdown

Editor's Note Fifteen states and territories are banding together to rebuild the nation’s weakened public health infrastructure as federal support falters, CIDRAP October 17 reports from October 15 Wall Street Journal coverage. According to the news, Democratic governors have launched the Governors Public Health Alliance, a nonpartisan, nonprofit effort to…

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By: Tarsilla Moura
October 21, 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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Office-based surgery offers new outpatient opportunities

Office-based surgery (OBS) is one of the fastest-growing care settings in the US. From ophthalmology and dermatology to gastroenterology and even orthopedics, more procedures once limited to hospitals or ambulatory surgery centers (ASCs) are now being performed in medical office suites. Among many factors, the growth is being fueled by…

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By: Christine Kilgore
October 16, 2025
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