Tag: Medicare

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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ASCs surge as hospitals and investors chase outpatient growth

Editor's Note Hospitals, physicians, and private equity are accelerating their push into lower-cost outpatient care. According to Colliers US Healthcare Services Research Report Q3 2025, published on September 22, ambulatory surgery center (ASCs) procedure volumes are projected to grow 9% between 2023 and 2028—outpacing hospital outpatient department growth at 7%—and…

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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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CDC shifts COVID-19 vaccination to individual decision-making, separates chickenpox shot for toddlers

Editor's Note The Centers for Disease Control and Prevention (CDC) has updated its immunization schedules to emphasize individual-based decision-making for COVID-19 vaccination and to recommend that toddlers receive a standalone varicella (chickenpox) vaccine rather than the combined measles, mumps, rubella, and varicella (MMRV) shot, a CDC October 6 release reports.…

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By: Tarsilla Moura
October 7, 2025
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Government shutdown squeezes military medicine, halts NIH research, cuts CDC operations

Editor's Note Following yesterday’s update on the impact of the federal government shutdown on telehealth and Affordable Care Act disruptions, the shutdown is also straining military health systems, biomedical research, and disease prevention programs, creating ripple effects for patient care and surgical innovation, Politico October 1 reports. While Medicare, Medicaid,…

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By: Tarsilla Moura
October 2, 2025
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Government shutdown stalls healthcare access, freezes Medicare telehealth, hospital-at-home services

Editor's Note A federal shutdown has halted critical healthcare programs, disrupted Medicare telehealth and hospital-at-home coverage, and escalated partisan conflict over the Affordable Care Act (ACA) and Medicaid, multiple outlets report, including HealthLeaders October 1 and KFF Health News. The budget impasse reportedly is leaving both patients and providers in…

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By: Tarsilla Moura
October 1, 2025
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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…

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By: Tarsilla Moura
October 1, 2025
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Optimizing vendor partnerships for cost containment, growth in ASCs: OR Manager Conference Session Preview

Growth is the goal in any ASC—growth in volume, growth in profits, and often growth to new locations. For DISC Surgery Centers, which just opened its sixth ambulatory surgery center (ASC) through parent company TriasMD, that growth has been the result of many factors. A key driver, according to Frank…

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By: Carina Stanton
September 24, 2025
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