Tag: Medicare

Shift to outpatient, emergency services keeps rural hospitals afloat

Editor's Note More CEOs are considering rural emergency hospital (REH) designation, according to a February 12 article in Becker’s Hospital CFO Report. In 2021, REH was established as a new Medicare provider type to enable struggling rural hospitals to continue operating with outpatient and emergency services only, instead of closing.…

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By: Matt Danford
February 27, 2024
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Study examines high emergency department use by transgender Medicare patients

Editor's Note A study showing greater likelihood for transgender (TGD) Medicare patients to use the emergency department highlights the need to train staff in transgender-inclusive care, the authors argue. Conducted by the Brown University School of Public Health, the study was published February 13 in JAMA Internal Medicine. As reported…

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By: Brita Belli
February 13, 2024
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Session: What to expect from healthcare policy, regulation in 2024

Editor's Note Since the pandemic, the view of the healthcare industry in congress has essentially gone from “hero to zero” – a shift with potentially big implications for the healthcare business leaders gathered at yesterday’s closing session from Soumi Saha, PharmD, JD, senior vice president of government affairs at Premier…

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By: Matt Danford
February 8, 2024
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Competition tight in annual “top hospital” rankings

Editor's Note:  The 250 best hospitals in the US perform at such a high level that those at the lower end of the rankings aren’t much different from those at the higher end, according to a January 23 report from Chief Healthcare Executive. Released annually by Healthgrades, the 2024 "Top…

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By: Matt Danford
January 29, 2024
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CMS reforms prior authorization to improve care, streamline physician process

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has implemented a final rule reforming the prior authorization process, with the aim to reduce delays in patient care and boost electronic efficiency for physicians, the American Medical Association (AMA) News Wire reported January 23. The Department of Health and…

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By: Tarsilla Moura
January 23, 2024
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Bipartisan congressional letter calls for end to Medicare payment cuts

Editor's Note Nearly 200 members of Congress co-signed a letter urging House and Senate leaders to act quickly in order to prevent a 3.37% cut to Medicare reimbursement payments that was scheduled to take effect on January 1, 2024. The American Medical Association, which supports the effort, reported the news…

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By: Brita Belli
January 10, 2024
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Bill seeks to improve cost transparency, provide relief to patients

Editor's Note The US House of Representatives may vote this week on The Lower Costs, More Transparency Act. Introduced September 8, the proposed act aims to boost healthcare pricing transparency so consumers can make more informed decisions. Key elements include: Hospitals, payers, ambulatory surgery centers (ASCs), and other facilities would…

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By: Brita Belli
December 11, 2023
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ASCs lock in higher Medicare, Medicaid payment rate

Editor's Note Ambulatory Surgery Centers (ASCs) will now receive a 3.1% payment rate from the Centers for Medicare and Medicaid Services (CMS) for services, which is an increase of .3% under the original rule, Becker’s ASC Review December 5 reports. This change in payment rate reflects the average of all…

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By: Brita Belli
December 8, 2023
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Healthcare costs making Americans poorer, sicker

Editor's Note The high cost of healthcare is leading many Americans to skip care and forgo medications, according to the 2023 Healthcare Affordability Survey by the Commonwealth Fund published on October 26. Some highlights of the survey include: A large number of insured working-age adults surveyed admitted difficulty affording their…

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By: Brita Belli
November 2, 2023
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Gender pay gap identified for gastroenterologists

Editor's Note According to a report by researchers from the University of Virginia Healthcare System, there is a significant gender pay gap in Center for Medical Services (CMS) reimbursements for gastroenterologists, Gastroenterology & Endoscopy News October 19 reports. The findings were reported in this poster presentation as well as first…

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By: Brita Belli
October 26, 2023
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