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.

Longer wait times indicate increased demand for cardiologists

In yet another indicator that demand for cardiologists is on the rise, a survey of patient wait times for five specialties in 15 major metropolitan markets reported an uptick for cardiology in 2013.

Mortality lower with VADs, but readmissions still high

Ventricular assist devices (VADs) may lower the risk of mortality, but not readmission, according to a study published online Jan. 29 in the Journal of the American College of Cardiology.

Multiple CPR attempts costlier in terms of dollars & survival

Hospitalized patients who receive cardiopulmonary resuscitation (CPR) multiple times are demographically different from their hospitalized counterparts who receive CPR only once, according to a study published in the January issue of the Journal of Hospital Medicine. They tend to be younger, nonwhite and treated in non-teaching hospitals. Survival is also poorer and hospitalizations tend to be higher.

pVAD safer, more cost-effective than surgical alternatives

Compared with traditional surgical hemodynamic support measures, percutaneous cardiac assist devices (pVADs) are less invasive and result in better outcomes, shorter lengths of stay, better survival rates and lower cost in patients with cardiogenic shock, according to a study published online Jan. 13 in Catheterization and Cardiovascular Interventions.

Hold the needle: Multistage screening as good as lab testing

Think twice before requesting a cholesterol lab test to assess a patient’s risk of cardiovascular disease. A study published online Jan. 14 in Circulation: Cardiovascular Quality and Outcomes determined that doctors could obtain comparable results faster and at less cost using a multistage screening strategy.

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Appealing RAC decision? Wait in line

Hospitals and physicians challenging auditor decisions on Medicare reimbursement may have a long wait to have their day in court. The federal office that handles appeals is warning providers that it has temporarily suspended assignment of most new requests in an effort to whittle down its 16-month wait time.

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Remorse Code: Mistakes that Prompt an Audit

Under the False Claims Act, it is illegal to submit a false or fraudulent claim to Medicare or Medicaid, intentionally or not. 

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Strategies to up thrombolysis rates provide cost savings

Any strategy that raised thrombolysis rates, including increased use of imaging, ultimately would pay for itself through cost savings and improved quality of life for stroke patients, an analysis published online Jan. 2 in Stroke concluded. 

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.