This article appears in the March 2013 issue of HealthLeaders magazine.
If your hospital or health system is currently using an all-physician anesthesia group, this might be a ripe opportunity to cut costs without compromising patient safety, say many advocates.
The issue of whether hospitals can be reimbursed by CMS for using unsupervised certified registered nurse anesthetists is a contentious one, but it has been decided since 2001, when a Medicare and Medicaid regulation change allowed states to opt out of a requirement that nurse anesthetists be supervised by an anesthesiologist. Some 17 states have done so, but even in states that haven't, many chief executives could achieve significant savings by creating anesthesia care teams with anesthesiologists in
President Obama Signs the American Taxpayer Relief Act of 2012
--New Law Includes Physician Update Fix through December 2013--
On Wednesday, January 2, 2013, President Obama signed into law the American Taxpayer Relief Act of 2012. This new law prevents a scheduled payment cut for physicians and other practitioners who treat Medicare patients from
Medicare on Thursday disclosed bonuses and penalties for nearly 3,000 hospitals as it ties almost $1 billion in payments to the quality of care provided to patients.
The revised payments, which will begin in January, mark the federal government’s most extensive effort yet to hold hospitals financially accountable for what happens to patients. In what amounts to a nationwide competition, Medicare compared hospitals on how faithfully they followed rudimentary standards of care and how patients rated their experiences.
In many regions, the hospitals that did the best are not the ones with the most outsized reputations, but regional and community hospitals, according to government
WASHINGTON -- The annual battle to fend off payment cuts mandated by Medicare's sustainable growth rate (SGR) formula keeps doctors from embarking on other issues that are occupying healthcare discussions, experts said at a Politico Pro healthcare briefing here.
"Unlike what Medicare has done in every other sector of payment,
Neurology groups are disappointed. Radiology specialists are upset and even angry. But family physicians and internal medicine doctors are delighted.
Those were some responses hours after the Centers for Medicare & Medicaid Services on Thursday issued its 1,362-page final rule of fee schedules for 57 physician and other specialty provider groups for calendar year 2013.
"These are arbitrary cuts, and they make no sense," says Geraldine McGinty, MD, chairwoman of the
Many physicians are concerned about the expansion of services being provided by advanced practice nurses ("APN") and nurse practitioners ("NP"). The anesthesiologist and CRNA relationship is no different. While some CRNAs may feel that recent rulings on independent practice is the start of a golden era, there is evidence
Medicare would reduce reimbursement for many types of specialists to fund sizable raises for primary care physicians in 2013, according to a proposed fee schedule that the Centers for Medicare and Medicaid Services (CMS) released today.
An anesthesia-services provider's proposals to enter into contracts with physician-owned outpatient surgery and endoscopy centers could lead to liability under the anti-kickback statute and possible administrative sanctions, the
Several Texas Critical Access Hospitals (CAH) report being hit by audits recently where Trailblazer is adjusting downward the allowable on-call time for Certified Registered Nurse Anesthetists. Trailblazer is denying and/or attempting to recover payments from several Texas rural CAHs claiming the payments are for services not clearly deemed an
In our still fragile economy, the fact that nurse practitioner and physician assistant salaries decreased in 2011 is not surprising. What is surprising is how dramatically different those declines are.
The 2011 National Salary Survey of NPs & PAs found that that the average full-time salary paid to PAs dropped by $2,006 compared to 2010, while the average NP salary dipped by only $187.
Job market observers told ADVANCE for NPs & PAs that this decrease in PA wages likely reflects an overall trend of declining