Management

This page includes content on healthcare management, including health system, hospital, department and clinic business management and administration. Areas of focus are on cardiology and radiology department business administration. Subcategories covered in this section include healthcare economics, reimbursement, leadership, mergers and acquisitions, policy and regulations, practice management, quality, staffing, and supply chain.

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Putting the SGR behind you

The Centers for Medicare & Medicaid Services released the physician fee schedule, and with it a reminder of unfinished business: the Sustainable Growth Rate (SGR) formula.

An extra hospital day lowers readmissions, costs

It sounds counterintuitive, but hospitals may save money by waiting a day before discharging heart failure patients. One more day in the hospital also reduces death from MI and pneumonia, according to a report published by the National Bureau of Economic Research.

In-hospital cardiac arrest survival carries high readmission rates, price

Patients who survive in-hospital cardiac arrests are not completely out of the woods, and mortality, readmission rates and inpatient costs prove it. Researchers found that 30-day and one-year readmission rates were exceptionally high among in-hospital cardiac arrest survivors, as were inpatient costs.

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CMS final fee schedule offers only crumbs for cardiology

Cardiovascular specialists will find little joy in final regulations released by the Centers for Medicare & Medicaid Services (CMS). Changes for 2015 leave payments generally flat—at least until April 1, when the Sustainable Growth Rate (SGR) formula patch is scheduled to expire.

Dalteparin outweighs unfractionated heparin in cost savings

Heparin choice can impact costs, according to a study published online Nov. 1 in JAMA. The economic analysis found median hospital costs were $1,297 less per patient with low-molecular-weight heparin (LMWH) dalteparin as opposed to unfractionated heparin.

5 disruptive forces to buffet cardiovascular device makers

Cardiovascular device makers may need to brace and embrace to stay afloat, according one market projection. Analysts predicted a 6 percent decline in margins for medical device companies by 2020, which could be offset by $34 billion in profits and cost reductions.

10-year stroke costs higher than estimates project

It may be time to readjust lifetime financial costs for stroke patients. According to a 10-year follow-up in an Australian study, the annual price tag for treatment following stroke was higher than they’d previously estimated at year five.

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The consequences of policy changes

You can call any change in public policy a natural experiment. This week we had a glimpse of some results.

Around the web

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

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.