Business News from OR Manager

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Effect of Medicare ACOs on spending for inpatient surgery

Editor’s Note Though Medicare Accountable Care Organizations (ACOs) have had some success in reducing spending for medical care, they have not had similar success with surgical spending, this study finds. Of 341,675 patients at 427 ACO hospitals and 1,024,090 patients at 1,531 non-ACO hospitals analyzed, average baseline payments were similar at ACO versus non-ACO hospitals. […]

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Disruptive innovation in supply chain: Impact of Amazon and technology, Part 1

Supply chain is the lifeblood of the OR, so any disruption in the flow of that lifeblood can lead to outcomes ranging from dissatisfaction with backorders to chaos if a new implant doesn’t arrive on time More »

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Editorial

Wobbly foundations Factors such as the temporary partial government shutdown, volatile financial markets, and ongoing legal battles over the fate of the Affordable Care Act (ACA) do not inspire confidence. A More »

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Early ‘victories’ forecast bright future for business awardee

Each year at the OR Business Management Conference, an outstanding leader receives the Best in OR Business Award. The 2019 award will be presented to Tracy Raymond, MHA, BHA, CRCST, CHL, perioperative services More »

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Comprehensive ROI pitch helps to procure OR equipment

Multiple requests for new equipment and technology—usually from surgeons but also sometimes from staff—are not uncommon. As part of their due diligence, OR leaders must determine whether the return on More »

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Surgical VAC mines new software for deeper look at products

After transitioning from a paper-based data and operations management system to one that uses relational database software, Lahey Hospital and Medical Center (LHMC) in Burlington, Massachusetts, saved more More »

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2019 Medicare final payment rule brings big wins for ASCs

The holiday spirit got off to a good start at ambulatory surgery centers (ASCs) across the country with the November 2, 2018, announcement of the Centers for Medicare & Medicaid Services’ (CMS) 2019 More »

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Reduced readmissions credited to HRRP overstated

Editor’s Note Medicare’s Hospital Readmissions Reduction Program (HRRP), which penalizes readmissions for several targeted conditions, has been credited with lowering readmission rates; however, these reductions now appear to be overstated, this study finds. A concurrent change in electronic transaction standards that increased diagnostic coding allowed hospitals to document a larger number of diagnoses per claim, […]

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Healthcare executives investing more in data analytics, AI

Editor’s Note A survey by NewVantage Partners finds that 77% of healthcare executives are increasing investments in big data analytics and artificial intelligence (AI), according to the January 4 HealthIT Analytics. Disruptive forces and industry competitors are the major motivators for the increase. Nearly 80% of data analytics leaders say their organizations still struggle with […]

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CMS underpaid hospitals by $76.8 billion in 2017

Editor’s Note The Centers for Medicare & Medicaid Services (CMS) underpaid hospitals by $76.8 billion in 2017, according to data from the American Hospital Association’s Annual Survey of Hospitals. Medicare underpayments totaled $53.9 billion, and Medicaid underpayments were $22.9 billion. Hospitals also provided $38.4 billion in uncompensated care, the January 3 AHA News reports.

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