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…
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…
Hospital groups ask US Senate for $35B in COVID-19 relief funds
Editor's Note Nine hospital groups have asked the US Senate to add $35 billion to COVID-19 relief legislation to help them deal with financial effects of the COVID-19 pandemic, the February 25 Fierce Healthcare reports. The $1.9 trillion COVID-19 relief bill passed by the House does not include a provider…
More states report telehealth reimbursement laws
Editor's Note A Foley & Lardner survey finds that state telehealth reimbursement laws have significantly increased during the COVID-10 pandemic, but more can be done to address telehealth adoption barriers, the February 15 Revcycle Intelligence reports. More than 43 states and Washington, DC, have some telehealth statute for commercial payers,…
Joint Commission conducting both virtual and onsite surveys in 2021
The Joint Commission stopped doing most onsite surveys and reviews from March 16 to May 31, 2020, in response to the COVID-19 pandemic. During that time, they developed processes for conducting offsite or virtual events, and as of mid-December, more than 1,200 offsite surveys and reviews had been conducted across…
New year brings some changes to quality reporting criteria
The 2021 Medicare Hospital Outpatient Prospective Payment System (OPPS)/ASC Final Payment Rule was released on December 1, 2020, and became effective as of January 1, 2021. Gina Throneberry, MBA, RN, CASC, CNOR, director of education and clinical affairs, Ambulatory Surgery Center Association (ASCA), summarized the status of Medicare regulations and…
COVID-19 has hastened outpatient surgery migration
The latest surge of COVID-19 cases has put many hospitals in a precarious position, with shortages of staff, space, and supplies. Lessons learned earlier in the pandemic cannot necessarily shore up systems that have been overwhelmed with patients. Throughout most of 2020, some patients postponed medical or surgical care. When…
CMS releases final 2021 Medicare payment rule for ASCs, HOPDs
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on December 2 released its 2021 final payment rule for ASCs and hospital outpatient departments (HOPDs). CMS has finalized the addition of 11 procedures to the ASC covered procedures list, including total hip arthroplasty, autochondrocyte knee implant, and open complex…
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