Telehealth in limbo: Providers split on continuing Medicare services during shutdown
Editor's Note Telehealth providers are divided over whether to continue serving Medicare patients after reimbursement expired alongside the federal government shutdown, Modern Healthcare October 9 reports. The impasse has forced organizations to weigh patient access against financial risk, with many issuing advance beneficiary notices warning patients they may be responsible…
Study: Outpatient surgery costs hinge on site of care, network status
Editor's Note Patients and insurers pay far less for outpatient surgical procedures performed at in-network ambulatory surgery centers (ASCs) than at hospital outpatient departments (HOPDs), the American Journal of Managed Care October 6 reports. This study, led by Xiaoxi Zhao, PhD, Christopher Whaley, PhD, and colleagues, analyzed commercial claims data…
CMS’s plan to phase out inpatient-only list could bolster rural ASCs
Editor's Note The proposal from the Centers for Medicare & Medicaid Services (CMS) to eliminate the Medicare Inpatient Only (IPO) list over 3 years could significantly expand opportunities for ambulatory surgery centers (ASCs), with rural facilities among those positioned to benefit most, Ambulatory Surgery Center News August 12 reports. The…
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…
Bad debt climbs as patient defaults, denials impact hospital revenue growth
Editor's Note Bad debt—payments hospitals expected to collect but ultimately had to write off—is increasing across hospitals as patients struggle to pay their share of healthcare costs and insurers raise the rate of claim denials, Modern Healthcare reported June 19. Citing a Kaufman Hall analysis of data from about 700…
Report: Hospitals double down on ASCs as outpatient shift accelerates
Editor's Note Hospitals and health systems are all-in on ambulatory surgery centers (ASCs), with ownership now the rule rather than the exception, according to the 6th Avanza Intelligence Hospital Leadership ASC Survey published in 2025. The report, produced in partnership with HealthLeaders Media, shows 82% of hospitals now own at…
Survey: Tariffs expected to increase hospital costs, disrupt supply chains
Editor's Note Rising tariff-related costs are expected to significantly impact hospital budgets and healthcare supply chains, according to a March 27 report in Becker’s Hospital Review. The article focuses on a recent survey conducted by Black Book Market Research in January before the US enacted 25% tariffs on Canadian and…
Session: Course Correction—Negotiating Payor Rates in the ASC Setting
Editor's Note Negotiating pay rates in the ambulatory surgery center (ASC) setting is a complex and evolving process that requires strategic planning, data-driven decision-making, and strong payer relationships, noted the speakers Amy Coletti, principal, ASC practice, and Matt Kilton, partner, at ECG Management Consultants at this year’s OR Business Management…
Bain Capital seeks full acquisition of Surgery Partners amid growing private equity interest in healthcare
Editor's Note Bain Capital Private Equity put forward a proposal to acquire all remaining shares of Surgery Partners, an ambulatory surgery center (ASC) operator in which Bain Capital already holds a 39% stake, Modern Healthcare January 28 reports. According to a filing with the US Securities and Exchange Commission, the…
Providers push back on insurance cost-cutting hurdles
Editor's Note Escalating administrative hurdles from insurers are heightening tensions between healthcare payers and providers who criticize the measures for threatening patient care, Modern Healthcare reported January 22. According to the article, policies attracting criticism include stringent prior authorization rules, claims denials, and new fees for appeals. For their part,…
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- CDC layoffs cripple national injury and overdose tracking, leaving prevention efforts in doubt
- The Joint Commission makes nurse staffing a national performance goal for 2026
- Telehealth in limbo: Providers split on continuing Medicare services during shutdown
- States take aim at outpatient facility fees driving higher commercial health costs
- Slower acquisitions, mounting debt reshape Surgery Partners growth outlook
- ASCs surge as hospitals and investors chase outpatient growth
- Nearly half of US physicians now work for large systems: GAO links consolidation to higher costs