CMS 2026 proposed rule: Expanded ASC access, higher payments, tighter quality reporting
Editor's Note The Centers for Medicare & Medicaid Services (CMS) just proposed sweeping changes to the Medicare Shared Savings Program and Physician Fee Schedule for calendar year 2026, including extensive changes to outpatient Medicare policy such as payment increases, expanded procedural access, and new quality reporting updates, as outlined in…
Mobile ORs can change the game, bridge gaps in surgical care
Imagine an innovative, safe, and highly efficient OR not confined by walls but on wheels—crossing rugged terrains, bustling cities, and disaster-stricken areas to deliver life-saving surgical care in underserved areas. That is the premise and promise of mobile ORs. They are not just mobile units. With some of the technological…
Telesurgery possibilities becoming more than remote
Remote surgery has come a long way since the first-ever case in 2001, when a surgeon in New York City operated on a patient in Strasbourg, France. No longer a product of science fiction, telesurgery’s advance promises to change—and save—countless lives, from patients in remote areas to those in warzones…
CMS vision shifts as agency halts funding for state programs
Editor's Note The Centers for Medicare & Medicaid Services (CMS) will no longer approve federal matching funds for designated state health programs (DSHPs) and designated state investment programs (DSIPs) that are not directly related to Medicaid services. According to the April 10 announcement, the decision aims to preserve the core…
Rural hospital closures remain a growing concern despite slight financial improvement
Editor's Note While fewer rural hospitals are operating at a loss than last year, more are now at risk of closure, according to a new report from Chartis. Fierce Healthcare reported the news February 13. As detailed in the article, the analysis found that 46% of rural hospitals are operating…
Rural hospital closures drive up surgical travel times and costs
Editor's Note Ongoing hospital closures are driving up travel times and out-of-pocket costs for rural Americans who need surgery, according to a February 12 report in HealthDay. Citing two recent studies published in Annals of Surgery and JAMA, respectively, the article details how rural hospital closures have forced more patients…
Repeal of CON laws for ASCs expands healthcare access, number of facilities in rural areas
Editor's Note This fall 2024 study published by the CATO Institute found that repealing Certificate-of-Need (CON) laws for ambulatory surgical centers (ASCs) would significantly increase the number of ASCs, improving patient access to affordable and high-quality care. By examining six states that repealed ASC-specific CON laws between 1991 and 2019,…
HHS announces $75 million investment in rural healthcare
Editor's Note The Health Resources and Services Administration (HRSA), part of the US Department of Health and Human Services (HHS), has announced nearly $75 million in funding to address critical challenges in rural health, including opioid treatment, maternal health care in the South, and supporting the financial stability of rural…
"Tweener" hospitals eye financial relief after Supreme Court ruling
Editor's Note The Supreme Court’s recent “Chevron” ruling could offer additional financial security to hundreds of so-called "tweener" rural hospitals—those too large to be considered critical access hospitals but too small to be rural referral centers. Modern Healthcare reported the news July 29. According to the article, critical access hospitals,…
Rural hospitals contend with challenging opportunities
Rural hospitals in the US have been facing a prolonged, multifaceted crisis. The literature presents several reasons for why healthcare facilities in rural areas struggle, including shrinking budgets, rising chronic illness and public health issues like addiction and obesity, poor telehealth and broadband access, aging populations, deteriorating mental health, and…
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