Tag: Reimbursement

Studies assess use of Mako System in joint arthroplasty

Editor’s Note. This article presents value-based analyses on the use of Mako robotic technology in total knee, partial knee, and total hip arthroplasty. The authors are with Stryker Orthopaedics in Mahwah, New Jersey.   Joint arthroplasty is an effective procedure to treat advanced osteoarthritis of the hips and knees. It…

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By: Kevin Barga, MS, RN and Andrea Coppolecchia, MPH
April 19, 2021
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The value in ambulatory vs inpatient surgery

Editor's Note In this study, researchers from Brigham and Women’s Hospital and Harvard Medical School, Boston, find that ambulatory surgery offers significant cost savings and generally superior 30-day outcomes compared to inpatient surgery. Of 73,724 patients having hernia repair, primary total or partial thyroidectomy, laparoscopic cholecystectomy, or laparoscopic appendectomy in…

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By: Judy Mathias
April 12, 2021
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Financial impact of canceled elective surgeries estimated at $22.3 billion

Editor's Note This study from Brigham and Women’s Hospital, Boston, and the University of Pennsylvania, Philadelphia, estimates the national revenue loss because of cessation of major elective surgeries during COVID-19 to be $22.3 billion. Sensitivity analysis finds that the recovery time to market equilibrium once elective surgeries fully resume is…

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By: Judy Mathias
April 12, 2021
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The Joint Commission launches SAFER Dashboard

Editor's Note The Joint Commission, on April 6, launched the SAFER Dashboard for its accredited healthcare organizations. The dashboard, which is accessible on an organization’s Joint Commission Connect extranet site, is a data analytic tool that allows organizations to view their survey data and national comparison data in one place.…

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By: Judy Mathias
April 8, 2021
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Hospitals ramp up outpatient TJA in the COVID-19 era

Fueled by a pandemic, patient demand, and competition with ambulatory surgery centers (ASCs), hospital outpatient department (HOPD) leaders are feeling the push to offer same-day discharge for total joint arthroplasty (TJA). Outpatient TJA is nothing new, but it’s certainly growing in popularity, says John W. Stirton, MD, MBA, medical director…

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By: Jennifer Lubell
March 19, 2021
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Bundled payments with copay waivers reduce surgery costs for patients, payers

Editor's Note A RAND Corporation study published in the March Health Affairs finds that health insurers and patients can achieve significant savings when they participate in a bundled payment program that waives cost-sharing for patients. Researchers examined a bundled payment program developed by a private insurer that ran from 2016…

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By: Judy Mathias
March 2, 2021
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Total hospital admissions down 8.5%

Editor's Note An electronic medical record (EMR) data analysis by Epic Health Research Network for the Kaiser Family Foundation finds that from March through December 2020, hospital admissions were 8.5% below predictions because of COVID-19. The analysis, which is based on Epic’s EMR data on all inpatient admissions from December…

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By: Judy Mathias
February 23, 2021
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More states report telehealth reimbursement laws

Editor's Note A Foley & Lardner survey finds that state telehealth reimbursement laws have significantly increased during the COVID-10 pandemic, but more can be done to address telehealth adoption barriers, the February 15 Revcycle Intelligence reports. More than 43 states and Washington, DC, have some telehealth statute for commercial payers,…

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By: Judy Mathias
February 18, 2021
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COVID-19 has hastened outpatient surgery migration

The latest surge of COVID-19 cases has put many hospitals in a precarious position, with shortages of staff, space, and supplies. Lessons learned earlier in the pandemic cannot necessarily shore up systems that have been overwhelmed with patients. Throughout most of 2020, some patients postponed medical or surgical care. When…

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By: Elizabeth Wood
December 15, 2020
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CMS releases final 2021 Medicare payment rule for ASCs, HOPDs

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on December 2 released its 2021 final payment rule for ASCs and hospital outpatient departments (HOPDs). CMS has finalized the addition of 11 procedures to the ASC covered procedures list, including total hip arthroplasty, autochondrocyte knee implant, and open complex…

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By: Judy Mathias
December 3, 2020
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