Tag: Medicare

Nurse, technician report reveals burnout, underpayment, safety concerns

Editor's Note A recent article from HIT Consultant highlights findings from Incredible Health’s 2025 State of US Nursing & Technicians Report, revealing mounting strain across the nursing and healthcare technician workforce. Reportedly based on insights from more than 1 million professionals, findings include:  71% of nurses report that staffing shortages…

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By: Matt Danford
July 31, 2025
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Study: Physician organizational affiliation impacts procedure locations, costs

Editor's Note Hospital-employed physicians are least likely and private equity (PE)-affiliated physicians most likely to provide care in lower-cost ambulatory surgery centers (ASCs) or offices, according to a study published July 24 in the Journal of Market Access & Health Policy These care site differences translate to substantial variation in…

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By: Matt Danford
July 30, 2025
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CMS payment overhaul could cut specialist pay

Editor's Note A “quiet transformation” in how Medicare pays doctors could reduce payments for specialty care, including rates for billing codes associated with surgery, diagnostic imaging, outpatient care, pain management, and orthopedics, Modern Healthcare July 22 reports. According to the article, The Centers for Medicare and Medicaid Services (CMS) 2026…

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By: Matt Danford
July 24, 2025
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Providers call for deeper reform despite CMS proposing payment hikes in 2026

Editor's Note CMS is boosting 2026 Medicare outpatient payments by 2.4%, but provider groups warn the increase barely scratches the surface of mounting financial strain. Alongside the payment bump, the agency is proposing a two-track physician reimbursement model that ties rates to value-based care participation. While some see these moves…

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By: Tarsilla Moura
July 23, 2025
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Anesthesia costs squeeze ASCs as staffing shortages, reimbursement gaps widen

Editor's Note Ambulatory surgery centers (ASCs) continue to face a mounting anesthesia crisis: costs are rising, staffing is tightening, and reimbursement is failing to keep pace. Anesthesia payments have dropped 8.2% over the past decade, while provider salaries have risen by as much as 40%, creating a growing financial burden…

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By: Tarsilla Moura
July 23, 2025
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Rehab hospitals face scrutiny over safety, profits

Editor's Note Although for-profit rehab hospitals have become highly profitable, a recent KFF Health News report highlights serious safety violations, including patient deaths due to carbon monoxide poisoning, medication errors, and falls.  Published July 15, the article delves into recent data and inspections of these facilities, particularly those run by…

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By: Matt Danford
July 17, 2025
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Zimmer expands ASC footprint with Getinge distribution deal

Editor's Note Zimmer Biomet is taking a strategic step to dominate the ambulatory surgery center (ASC) market by partnering with Getinge to distribute surgical and infection control products, broadening its offering beyond implants and robotics, MedTech Dive July 14 reports. The partnership would provide ASCs with a single-source solution for…

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By: Tarsilla Moura
July 16, 2025
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CMS 2026 proposed rule: Expanded ASC access, higher payments, tighter quality reporting

Centers for Medicare & Medicaid Services

Editor's Note The Centers for Medicare & Medicaid Services (CMS) just proposed sweeping changes to the Medicare Shared Savings Program and Physician Fee Schedule for calendar year 2026, including extensive changes to outpatient Medicare policy such as payment increases, expanded procedural access, and new quality reporting updates, as outlined in…

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By: Tarsilla Moura
July 16, 2025
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Five underreported health changes in 'big beautiful bill'

Editor's Note Although the newly enacted One Big Beautiful Bill Act is best known for major Medicaid cuts and a temporary Medicare Physician Fee Schedule increase, it also carries significant policy changes that could affect providers, patients, and the physician workforce, MedPage Today reported July 11. The article lists five…

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By: Matt Danford
July 16, 2025
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CMS proposes 2026 Medicare pay bump, targets wasteful spending

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has proposed a 3.62% increase to the 2026 Medicare physician fee schedule, according to a July 14 article in Fierce Healthcare. The proposed rule sets the conversion factor at $33.42, up from $32.35 in 2025. The increase reflects a 2.5%…

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By: Matt Danford
July 15, 2025
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