Tag: Reimbursement

Session: What are the legal implications of AI in healthcare?

Editor's Note How will healthcare regulators deal with artificial intelligence? How will malpractice law change, and who will be liable for harm derived from AI diagnosis and treatment recommendations? What can be done about bias in AI? Even amid a surge in algorithms cleared by the FDA, all of these…

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By: Matt Danford
February 7, 2024
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Bipartisan congressional letter calls for end to Medicare payment cuts

Editor's Note Nearly 200 members of Congress co-signed a letter urging House and Senate leaders to act quickly in order to prevent a 3.37% cut to Medicare reimbursement payments that was scheduled to take effect on January 1, 2024. The American Medical Association, which supports the effort, reported the news…

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By: Brita Belli
January 10, 2024
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Gender pay gap identified for gastroenterologists

Editor's Note According to a report by researchers from the University of Virginia Healthcare System, there is a significant gender pay gap in Center for Medical Services (CMS) reimbursements for gastroenterologists, Gastroenterology & Endoscopy News October 19 reports. The findings were reported in this poster presentation as well as first…

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By: Brita Belli
October 26, 2023
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Women neurosurgeons receive half the Medicare reimbursement of male counterparts

Editor's Note From 2013 to 2020, women neurosurgeons received half the reimbursement dollars from Medicare compared to their male counterparts, JAMA Network October 11 reports. This investigative study, titled "Gender differences in Medicare practice and payments to neurosurgeons," was published by JAMA Surgery. The researchers analyzed data for 6,052 neurosurgeons…

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By: Brita Belli
October 16, 2023
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Cardiac interventional procedures are shifting from hospitals to ASCs

Editor's Note At ACC.23 (the American College of Cardiology 2023 conference), Sunil Rao, MD, director of interventional cardiology at NYU Langone and president of the Society of Cardiovascular Angiography and Interventions (SCAI), spoke about the shift in interventional procedures from hospitals to ambulatory surgical centers (ASCs), Cardiovascular Business April 10…

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By: Tarsilla Moura
April 13, 2023
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CJR program reduced some racial differences in outcomes

Editor's Note This study from the Icahn School of Medicine at Mount Sinai, New York City, finds that Medicare’s Comprehensive Care for Joint Replacement (CJR) program led to a reduction of racial differences in hospital readmission rates for patients having hip or knee replacement surgery. The retrospective cohort study included…

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By: Judy Mathias
April 19, 2022
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HHS says more funding is needed to combat COVID-19

Editor's Note According to the February 16 Becker’s Hospital Review, Health and Human Services (HHS) Secretary Xiaver Becerra said the Biden administration is estimating it will need some $30 billion to continue to fight against COVID-19. Another HHS representative told Politico the funding is needed "for additional resources to support…

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By: Tarsilla Moura
February 17, 2022
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The Joint Commission, AHA announce new advanced certification program for heart attack patient care

Editor's Note The Joint Commission, on February 13, announced that it has partnered with the American Heart Association (AHA) to develop a new advanced disease-specific care certification program for heart attack patient care. The Comprehensive Heart Attack Center (CHAC) Certification Program (CHAC), which is based on AHA clinical practice guidelines…

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By: Judy Mathias
February 14, 2022
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Report: Only 14.3% of hospitals comply with 2021 price transparency rule

Editor's Note According to Healthcare Purchasing News (HPN), a new report published by PatientRightsAdvocate.org shows that the majority of hospitals continue to not disclose the cost of care from consumers one year after an Executive Order requiring hospitals to post their real prices went into effect. The “Semi-Annual Hospital Price…

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By: Tarsilla Moura
February 14, 2022
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ASCs sue over lack of spine surgery reimbursement

Editor's Note According to the February 2 Becker’s ASC Review, two ambulatory surgery centers (ASCs) recently filed lawsuits against insurance payers over reimbursement, or lack thereof, for spinal procedures. Surgery Center of Viera, based in Melbourne, Florida, filed its lawsuit January 20 against Cigna and consulting services Strategic Enterprise Solutions…

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By: Tarsilla Moura
February 3, 2022
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