Medicaid expansion reduces uninsured surgical hospitalizations, financial burden
Editor's Note This study from Duke University Medical Center, Durham, North Carolina, finds that Medicaid expansion was associated with a reduction in uninsured surgical hospitalizations. Researchers analyzed state-level data across 44 states and patient-level data across four states, and they compared hospitalizations in expansion and non-expansion states. Uninsured surgery patients…
Cigna, Oscar Health to offer virtual-first primary care plan
Editor's Note Cigna and New York City-based Oscar Health will offer a virtual-first primary care plan next year in Georgia and Tennessee for small businesses, the July 22 Becker’s Hospital Review reports. The model, which will be available on some of the insurers’ joint plans, offers unlimited primary care provider…
Joint Commission issues Quick Safety on diversity
Editor's Note The Joint Commission, on July 13, issued a new “Quick Safety Issue 60: Understanding the needs of diverse populations in your community.” To address the health and well-being of diverse populations in US communities, hospitals and medical centers can use the following safety actions and strategies: Requiring leadership…
First assistants bring expertise and efficiency to the OR table--Part 2
First assistants (FAs) can play an important role in achieving optimal outcomes and higher surgical case volumes. Part 1 of this two-part series discussed types, education, and certification of FAs (OR Manager, May 2021, pp 1, 15-18). Part 2 answers questions related to risk management and oversight, and discusses possible…
Patients deserve better healthcare price transparency
Reforms are underway to curb surprise billing practices, with new federal government regulations due to be published by July 1 as part of the No Surprises Act passed by Congress in late 2020. Among many other provisions, the new law will require insurance providers to be more transparent about prices…
Building a good 'marriage' with hospitals: A primer for ASCs
A global pandemic did not stop the proliferation of joint ventures between ambulatory surgery centers (ASCs) and hospitals in 2020. The trend continues in 2021, as federal regulators expand on the types of procedures that can be performed in the ambulatory setting. Hospitals are recognizing the need for a surgery…
US deficit in cancer screening associated with COVID-19
Editor's Note This study led by researchers at the University of Kansas Medical Center, Kansas City, finds a sharp decline in breast, colorectal, and prostate cancer screening rates in 2020. This analysis of data on 60 million people in Medicare Advantage and commercial health plans across the US shows that…
Use of telehealth by surgical specialties before, during COVID-19
Editor's Note This study led by the University of Michigan, Ann Arbor, finds that early in the COVID-19 pandemic, there was a substantial increase in telehealth use across all surgical specialties, with a slow decline after June 2020. Of 4,405 surgeons included in the study, 2,588 (58.8%) used telehealth in…
Hospitals ramp up outpatient TJA in the COVID-19 era
Fueled by a pandemic, patient demand, and competition with ambulatory surgery centers (ASCs), hospital outpatient department (HOPD) leaders are feeling the push to offer same-day discharge for total joint arthroplasty (TJA). Outpatient TJA is nothing new, but it’s certainly growing in popularity, says John W. Stirton, MD, MBA, medical director…
Bundled payments with copay waivers reduce surgery costs for patients, payers
Editor's Note A RAND Corporation study published in the March Health Affairs finds that health insurers and patients can achieve significant savings when they participate in a bundled payment program that waives cost-sharing for patients. Researchers examined a bundled payment program developed by a private insurer that ran from 2016…
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