AHA study: HOPD Medicare patients are poorer, sicker, more rural than those seen in physician offices
Editor's Note Medicare patients treated in hospital outpatient departments (HOPDs) present with greater socioeconomic and clinical complexity than peers seen in independent physician offices, including higher prior emergency department (ED) visits and inpatient use. According to an American Hospital Association (AHA) study conducted by KNG Health Consulting and published on…
Rural hospitals face crisis under OBBBA as experts call for cohesive reform
Editor's Note The One Big Beautiful Bill Act (OBBBA) is set to reshape rural healthcare in ways that could destabilize already fragile systems. According to a September 3 JAMA Network article, the law is set to reduce federal Medicaid spending by more than $900 billion over 10 years, cuts that…
CMS’s plan to phase out inpatient-only list could bolster rural ASCs
Editor's Note The proposal from the Centers for Medicare & Medicaid Services (CMS) to eliminate the Medicare Inpatient Only (IPO) list over 3 years could significantly expand opportunities for ambulatory surgery centers (ASCs), with rural facilities among those positioned to benefit most, Ambulatory Surgery Center News August 12 reports. The…
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,…
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