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…
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,…
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…
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…
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…
Inflation pushes health systems toward financial austerity
Editor's Note US hospitals and health systems are facing growing financial pressure as inflation drives costs faster than reimbursement can keep up, according to a July 10 article in Health Affairs. Although growing steadily, healthcare spending has been largely stable when measured as a percentage of gross domestic product…
Study: Bariatric surgery beats lifestyle changes for patients with cirrhosis, obesity
Editor's Note New research shows bariatric surgery may offer better outcomes and lower overall spending than lifestyle changes for patients with cirrhosis, especially mild cases, Medscape reported April 9. The article focuses on a study published in Jama Surgery detailing both the survival benefits and long-term cost-effectiveness for patients with…
Healthcare giants prioritize shareholder payouts over patient care
Editor’s Note Shareholder payouts by publicly traded healthcare companies have surged 315% since 2001, raising questions about financial priorities in the sector, according to a February 19 article in Healthcare Finance. A research letter published in JAMA Internal Medicine and co-authored by Yale University researchers found that major healthcare corporations…
Moody’s downgrades health insurance outlook as medical costs surge
Editor's Note Moody’s Ratings has shifted the health insurance industry’s credit outlook from stable to negative, according to a February 3 article in Fierce Healthcare. According to the article, the downgrade is due to escalating medical costs that outpace reimbursement rates. Analysts project an 8% rise in commercial market spending…
Surgical ethics: Does money speak louder?
Although I am not a healthcare professional, working for OR Manager offers a peek behind the curtain. What I have learned so far has left me feeling a bit conflicted. When I took this job back in December, I assumed the hospital ecosystem was driven entirely by the Hippocratic Oath.…
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- Hospitals being squeezed: Anesthesia workforce gaps, payer cuts threaten surgery access
- CDC layoffs cripple national injury and overdose tracking, leaving prevention efforts in doubt
- The Joint Commission makes nurse staffing a national performance goal for 2026
- Telehealth in limbo: Providers split on continuing Medicare services during shutdown
- States take aim at outpatient facility fees driving higher commercial health costs
- Slower acquisitions, mounting debt reshape Surgery Partners growth outlook
- ASCs surge as hospitals and investors chase outpatient growth
- Nearly half of US physicians now work for large systems: GAO links consolidation to higher costs