Takeaways • Although the central tenets of value-based healthcare have not changed, in many cases implementation has been reduced to little more than reducing costs, to the detriment of clinicians and patients. • The right incentives, such as recognition and work support, can effectively inspire clinicians to deliver high value…

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Editor's Note Financial incentives can shape surgeons’ decision-making, but their effectiveness depends on the structure of the payment model. This is the central message of a January 26 article in Forbes reporting on two studies: one linking a sharp increase in hernia cases to a simple Medicare coding change, and…

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Editor's Note Health system leaders expect to face mounting physician challenges, shifting reimbursement models, and new growth opportunities throughout this year, according to VMG Health’s Health System Leader Expectations survey. Based on responses from 73 health system leaders, the report highlights the sector’s key trends and priorities for 2025. Key…

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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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Editor's Note Healthcare data inaccuracies occur at rates as high as 26.9% in hospitals, with related inefficiencies costing providers up to $20 million annually, HealthLeaders reported January 8. According to the article, these inaccuracies stem from factors such as data entry mistakes, outdated information, inconsistent data standards, and system integration…

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“Surgeons are the only people trained to provide surgery—life-saving care," says Carrie Zlatos, chief of legislative and political affairs at the American College of Surgeons (ACS). "They are an essential element of a community-based healthcare system. Regardless of where you live, everyone should have access to full quality surgical care.”…

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Stem cell therapy is poised to revolutionize regenerative medicine. As these therapies advance, they may alter or even replace certain invasive surgical procedures. Already undergoing advanced clinical trials, orthopedic applications are likely candidates for attracting the earliest adopters. Results so far indicate significant potential for providing alternatives to implants, grafts,…

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Takeaways • Documentation and coding procedures are rife with opportunity for cost savings. • Passed in 2022, the No Surprises Act is designed to protect insured patients from surprise billing for emergency services from out-of-network providers. However, the result has been nearly 40% cuts in reimbursements to anesthesiologists. • OR…

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Editor's Note Doctors facing inflationary and operational cost increases are decrying recently finalized 2025 Medicare reimbursement rates, according to a November 4 report in Healthcare Dive. The 2025 rates reduce physician payments by 2.9% while increasing rates for hospital outpatient departments and ambulatory surgery centers (ASCs) by 2.9%, the outlet…

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Editor's Note The Heart Rhythm Society (HRS) announced the formation of Heart Rhythm Advocates, a new 501(c)(4) nonprofit advocacy organization aimed at bolstering support for cardiac electrophysiology (EP), Cardiac Rhythm News October 23 reports. This initiative complements HRS's existing 501(c)(3) nonprofit structure and responds to the increasing prevalence of atrial…

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