Private payers profit by delaying medical claims
Editor's Note Private payers initially deny reimbursement on 15% of claims, only to later approve more than half of those initial denials, according to a national survey of healthcare institutions published March 21 by Premiere, Inc. Additionally, the denied claims on average tend to be more prevalent for higher-cost treatments…
Laparoscopic cholecystectomy could benefit patients with normal ejection fraction
Editor's Note Patients with biliary symptoms can benefit from laparoscopic cholecystectomy even with a normal ejection fraction (greater than 35%), according to a study published November 30 in the American Journal of Surgery. Although previous data have shown the surgery to improve biliary symptoms (such as abdominal pain) in patients…
New hope for Black kidney disease patients awaiting organ transplants
Editor's Note A standard kidney function test has been underestimating the seriousness of disease in Black patients, delaying their eligibility for transplants, The Associated Press reported March 31. Now, that test is changing – and Black patients awaiting kidneys are moving up the list. Among other factors, transplant eligibility is…
Donor hearts denied more often to male, black male transplant candidates
Editor's Note New research shows transplant center teams are more to likely reject offers of donor hearts to black men and men than black women and white women, MedPage Today reported on March 25. “The cumulative probability of a donor heart being accepted by the transplant center team was most…
Study: Postoperative hospital readmissions higher for older Americans
Editor's Note Older Americans are at heightened risk for both short-term and long-term hospital readmission following major surgery, according to a study from Yale University published February 28 in Jama Network Open. Readmission places a major financial strain on health systems, researchers write, pointing out that the total cost…
Study: Propofol sedation increases colonoscopy costs without improving outcomes
Editor's Note Although the use of propofol for colonoscopy has been rising due to beliefs that deep sedation leads to greater patient comfort, a recent systematic review and meta-analysis of nearly 1,500 patients from nine randomized controlled trials shows this view is not supported by available evidence. Published March 8…
How data puts the ‘value’ in value-based care
What if a surgeon decided to perform a procedure on a patient that was not totally necessary? It happens more often that one might realize. As recently as August 2023, Forbes published an article that cited a Harvard Business Review report stating that over 50% of lumbar spine surgeries are…
Procedural sedation analgesia considerations for ASC leaders
The promise of quicker recovery and fewer complications from sedation, anesthesia, and pain management have drawn clinicians and patients alike to procedures performed in ambulatory surgery centers (ASCs) and other outpatient settings. However, sedation, anesthesia, and analgesia add their own risks to those of the procedure itself. Understanding the latest…
Study data supports less radical cervical cancer surgery alternative
Editor's Note New research supports fertility preservation with cone biopsy as a viable, less radical option for to surgery in patients with early, low-risk cervical cancer, according to a report published March 18 in MedPage Today. Presented at the Society of Gynecologic Oncology annual meeting, the findings from the Gynecologic…
Study: Postoperative delirium less likely with ephedrine than phenylephrine
Editor's Note Using phenylephrine as an intraoperative vasopressor could lead to higher risk of postoperative delirium compared to ephedrine, according to findings published in the April issue of Anesthesiology. Posted online last September, these findings confirm researchers’ original hypothesis. “The treatment of intraoperative hypotension with phenylephrine may impair cerebral perfusion…
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- Waste-reduction culture, elimination of anesthetic gases slash OR emissions at USC
- Clinicians urged to rethink gynecologic pain management
- Direct-hire international nurses could offer sustainable solution to US shortage
- Healthcare leaders project revenue gains from value-based care despite persistent hurdles
- CMS updates hospital price transparency guidelines
- CDC communication breakdown raises public health risk
- Study: Shorter radiation schedule matches safety of standard prostate cancer treatment
- Poll: Healthcare cybersecurity leaders overlook AI-enabled physical security gaps
- ASC improves hospital efficiency, maintains outcomes despite higher-acuity joint replacement patients
- Hospital support staff cuts raise risk of infection, delays in care