Tag: Medicare

DOJ task force, insurers target ASC barriers with parallel reforms

Editor's Note Federal regulators and major insurers are independently moving to ease long-standing burdens on ambulatory surgery centers (ASCs), potentially reshaping the regulatory and administrative landscape in which perioperative leaders operate. According to Ambulatory Surgery Center News June 23, ASC stakeholders are actively engaging with the new Anticompetitive Regulations Task…

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By: Tarsilla Moura
June 25, 2025
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Major insurers pledge prior authorization reform

Editor's Note Nearly 50 major US health insurers—including UnitedHealthcare, Aetna, Cigna, Elevance, and Humana—have pledged to reform prior authorization practices, with the goal of easing administrative burdens and improving access to care, according to a June 23 article in Healthcare Dive. As detailed in the article, the announcement came from…

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By: Matt Danford
June 25, 2025
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Study: Language barriers raise sepsis death risk despite faster treatment

Editor's Note Patients hospitalized with sepsis who have limited English proficiency (LEP) face significantly higher odds of dying in the hospital even after accounting for multiple demographic and clinical factors, according to research presented at the American Thoracic Society International Conference by researchers from UC San Diego. Healio reported the…

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By: Matt Danford
June 18, 2025
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Significant CMS moves include withdrawal of emergency abortion care guidance

Editor's Note CMS has rescinded a 2022 guidance that protected clinicians providing emergency abortion care under the Emergency Medical Treatment & Labor Act (EMTALA), removing a key federal safeguard for providers in states with abortion restrictions, according to a June 2 article in Becker’s Hospital Review. The guidance, originally issued…

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By: Matt Danford
June 5, 2025
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CMS updates hospital price transparency guidelines

Centers for Medicare & Medicaid Services

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has updated hospital price transparency guidelines to require publishing real, calculated dollar amounts rather than placeholders and estimates. As detailed in the agency’s May 22 announcement, the revision complies with President Trump’s February 25 Executive Order 14221, “Making America Healthy…

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By: Matt Danford
May 23, 2025
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AHA urges HHS to cut regulations that burden hospitals and staff

Editor's Note The American Hospital Association (AHA) has called on the Department of Health and Human Services (HHS) to eliminate or ease a variety of federal regulations, arguing that excessive administrative rules drive up costs, reduce patient access, and hinder innovation, Modern Healthcare reported May 13. According to the article,…

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By: Matt Danford
May 16, 2025
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Study: Outpatient PCI safety comparable for ASCs, HOPDs

Editor's Note The first study to evaluate percutaneous coronary interventions (PCI) in Medicare beneficiaries treated at ambulatory surgery centers (ASCs) found similar short-term safety outcomes as hospital outpatient departments (HOPDs). As detailed in an announcement from The Society for Cardiovascular Angiography & Interventions (SCAI), the research was presented on May…

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By: Matt Danford
May 8, 2025
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ASCA 2025: Leading lawmaker reflects on surgery center priorities

Editor's Note At the 2025 Ambulatory Surgery Center Association (ASCA) conference, discussion of legislative priorities extended beyond educational sessions. Thanks to a visit from the ranking lawmaker of the congressional subcommittee responsible for most healthcare policymaking, attendees also got first-hand insight into the latest negotiations on Capitol Hill. US Representative…

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By: Matt Danford
May 6, 2025
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CMS vision shifts as agency halts funding for state programs

Centers for Medicare & Medicaid Services

Editor's Note The Centers for Medicare & Medicaid Services (CMS) will no longer approve federal matching funds for designated state health programs (DSHPs) and designated state investment programs (DSIPs) that are not directly related to Medicaid services. According to the April 10 announcement, the decision aims to preserve the core…

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By: Matt Danford
April 11, 2025
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Study: Preop mental health assessment improves postop outcomes for older patients

Editor's Note Preoperative mental health assessment significantly increases the odds of a postoperative “textbook outcome” for older patients, according to research published on March 15 in the journal Surgery. The median age for the patient population analyzed at the time of surgery was 74 years. Focusing on more than 32,500…

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By: Tarsilla Moura
March 28, 2025
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