Editor's Note A Medicare policy introduced in 2020, which requires prior authorization for certain procedures done at hospital outpatient departments (HOPDs), has not significantly reduced the volume of surgical procedures being done at these facilities, reports a study by Michigan Medicine, University of Michigan, published on October 9. The policy,…

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Editor's Note This fall 2024 study published by the CATO Institute found that repealing Certificate-of-Need (CON) laws for ambulatory surgical centers (ASCs) would significantly increase the number of ASCs, improving patient access to affordable and high-quality care. By examining six states that repealed ASC-specific CON laws between 1991 and 2019,…

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Editor's Note A growing trend toward vertical integration in US healthcare is leading to significant changes in how care is delivered and billed, according to a new study by Brown University researchers published on September 16. Vertical integration refers to the consolidation of physician-owned practices into larger health systems, a…

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Editor's Note This new multicenter study published by the Heart Rhythm Society on August 5 found that ambulatory surgery centers (ASCs) offer a safe and effective setting for performing various cardiac electrophysiology procedures, including catheter ablation (CA). The research, which retrospectively analyzed 4,037 procedures, highlights the viability of ASCs as…

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Editor's Note Medicare and patient out-of-pocket costs are rising as vertical integration results in more procedures moving to hospital outpatient departments (HOPDs) than to ambulatory surgical centers (ASCs), Becker’s ASC Review reported on August 8. The article summarizes a study published July 25 in Science Direct. Described as "physician vertical…

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Healthcare continues to evolve at a fast pace with advancements in technology and treatment, which is a big reason why finding the right medical care is a daunting task. Nowadays, patients seeking healthcare services are facing several choices, each promising the best care possible. How accurate is that promise? Determining…

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Editor's Note An increasing trend in healthcare billing has seen patients facing unexpected "hospital facility fees," even for routine services at clinics not physically connected to a hospital, Stateline April 25 reports. These fees, which can range significantly, are tacked on by hospitals to cover operational costs and have been…

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Editor's Note This study from the University of Michigan, Ann Arbor, examines the use of a machine learning (ML) model to predict the suitability for having a surgical procedure performed at an ambulatory surgery center (ASC) vs a hospital-based outpatient department (HOPD). To augment a labor intensive manual process in…

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Editor's Note This study, presented March 7 at the American Academy of Orthopaedic Surgeons (AAOS) annual meeting in Las Vegas, finds high reported satisfaction and outcomes in patients who had outpatient joint arthroplasty procedures in academic medical centers. The study included 281 outpatient total joint arthroplasty (TJA) and unicondylar knee…

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