Economics

This channel highlights factors that impact hospital and healthcare economics and revenue. This includes news on healthcare policies, reimbursement, marketing, business plans, mergers and acquisitions, supply chain, salaries, staffing, and the implementation of a cost-effective environment for patients and providers.

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Obesity takes heavy toll on medical costs

Medical costs were 22 percent higher for overweight patients who presented at an emergency department with chest complaints compared with normal weight patients, and 41 percent higher for morbidly obese patients, researchers reported online March 4 in Circulation: Cardiovascular Quality and Outcomes. The findings also hinted at possible unnecessary imaging in the morbidly obese.

CBO: Repealing SGR may cost additional $60B over 5 years

The Congressional Budget Office (CBO) estimated that a proposed bill to repeal the sustainable growth rate (SGR) formula and adjust Medicare payments to providers would increase spending by about $60 billion between 2014 and 2019 if enacted. Between 2014 and 2024, that amount would increase to $138 billion.

Costs vary widely across hospitals for congenital heart operations

Costs for congenital heart surgery vary across hospitals, with complications and length of stay contributing to more than a quarter of the variation, researchers reported in the March issue of Pediatrics.

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CMS will cover cardiac rehab for HF patients

The Centers for Medicare & Medicaid Services (CMS) expanded its coverage for cardiac rehabilitation services to include patients with chronic heart failure (HF) after determining that rehab is safe and effective.

Genotyping makes some antiplatelet therapy more cost-effective

Tailoring antiplatelet therapy based on a person’s genetic information may be a cost-effective strategy when using prasugrel and ticagrelor after PCI, a study published online Feb. 17 in Annals of Internal Medicine found. In addition, the study found that ticagrelor may be cost-effective for all patients without the need for genotyping.

OIG targets cardiac caths, biopsies for review

The Office of Inspector General (OIG) added a nationwide review of cardiac catheterizations and heart biopsies to its 2014 work plan. The work plan spells out federal priorities with a focus on reducing waste and fraud in Medicare and Medicaid programs.

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Corporate coups

This week two corporations, CVS Caremark and AT&T, made announcements that likely will help boost their images with consumers.

FDA rulemaking process lacks transparency, efficiency

The FDA takes an average of 7.3 years to finalize rules that determine its regulation process, a study published in the February issue of Health Affairs found. Rules associated with cost-benefit analyses take the longest to review, and longer review times often mean the final rules are less stringent than the ones proposed initially.

Around the web

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.