Tag: Reimbursement

Widening of racial, socioeconomic healthcare gap for organ transplant patients during COVID-19

Editor's Note This study led by researchers at the University of Texas Southwestern Medical Center, Dallas, finds that although COVID-19’s effect on access to liver transplantation has been all-pervasive, minorities have been disproportionately affected—especially those with public insurance. During the initial wave of COVID-19, organ transplantation was classified as a…

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By: Judy Mathias
September 16, 2021
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Maintaining a productive OR as cases shift to ASCs

The migration of surgical procedures from hospital ORs to hospital-owned ambulatory surgery centers (ASCs) is picking up speed. According to a recent survey, three-quarters of larger hospitals now have an ownership stake in more than one ASC. Two-thirds of US health systems are currently planning to increase their ASC investment.…

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By: Leslie Basham, MBA, Thomas Blasco, MD, MS, Brian Watha, MHSA, Anne Cole, RN, MSN, CNOR and Joan Dentler
August 19, 2021
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Medicaid expansion reduces uninsured surgical hospitalizations, financial burden

Editor's Note This study from Duke University Medical Center, Durham, North Carolina, finds that Medicaid expansion was associated with a reduction in uninsured surgical hospitalizations. Researchers analyzed state-level data across 44 states and patient-level data across four states, and they compared hospitalizations in expansion and non-expansion states. Uninsured surgery patients…

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By: Judy Mathias
August 5, 2021
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CMS issues IPPS final rule for FY 2022

Editor's Note The Centers for Medicare and Medicaid Services (CMS) on August 2 issued its final Inpatient Prospective Payment System (IPPS) rule for FY 2022. The final rule: increases Medicare payment rates by a net 2.5%, compared to FY 2021, for hospitals that are meaningful users of electronic health records…

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By: Judy Mathias
August 5, 2021
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ACS strongly opposes Medicare cuts to surgical patient care

Editor's Note In a July 14 news release, the American College of Surgeons (ACS) said the proposed Medicare physician fee schedule for CY 2022 poses a threat to surgical patient care. The proposed rule from the Centers for Medicare & Medicaid Services (CMS) maintains cuts to surgical care that Congress…

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By: Judy Mathias
July 22, 2021
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Regroup and recharge at OR Manager's leadership conferences

As the nation gradually resumes activities that have been restricted during the COVID-19 pandemic, OR Manager looks forward to hosting two fall conferences. The OR Business Management Conference (ORBMC) takes place in San Diego, September 27-29, and the OR Manager Conference follows in Chicago, October 20-22. There has never been…

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By: Elizabeth Wood
June 22, 2021
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CMS extends ASC quality data reporting deadline

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced May 17 that it has extended the Ambulatory Surgical Center Quality Reporting (ASCQR) program data submission deadline from Monday, May 17, to Monday, July 19, 2021. The extension provides ASCs with more time to obtain HARP [Health Care Quality…

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By: Judy Mathias
May 19, 2021
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First assistants bring expertise and efficiency to the OR table--Part 2

First assistants (FAs) can play an important role in achieving optimal outcomes and higher surgical case volumes. Part 1 of this two-part series discussed types, education, and certification of FAs (OR Manager, May 2021, pp 1, 15-18). Part 2 answers questions related to risk management and oversight, and discusses possible…

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By: Cynthia Saver, MS, RN
May 19, 2021
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Editorial

A year ago at this time, healthcare facilities were busy resuming elective procedures that had been put on hold because of COVID-19—a feat that required agility, innovation, and collaboration to ensure staff and patient safety amid the ongoing pandemic. It’s remarkable that multiple vaccines have since been developed and administered…

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By: Elizabeth Wood
May 19, 2021
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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…

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By: Elizabeth Wood
May 19, 2021
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