Trauma center hospitals charged above-market prices for non-trauma care
- Hospitals designated as trauma centers charged higher prices for non-trauma inpatient admissions and emergency department visits compared to non-trauma center hospitals, a Health Affairs study found. Hospital prices are the largest driver of rising healthcare spending in the commercial market and are often influenced by the structure of hospital...
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MIPS Value Pathways: Pros and Cons for Emergency Medicine Physicians
A new option under CMS' Merit-Based Payment Incentive System (MIPS) aims to streamline reporting requirements and align quality measures with specific specialties. However, emergency physicians and...Community Service Navigation Helped Reduced Emergency Department Use
The CMS Accountable Health Communities (AHC) Model reduced emergency department (ED) use for Medicare and Medicaid beneficiaries but did not help resolve health-related social needs (HRSNs) issues as...Emergency Department Labor Costs Up 50% From Pre-Pandemic Levels
Hospital expenses remain high in 2023, with emergency department labor costs in particular increasing 50 percent from pre-pandemic levels, according to a report from Syntellis Performance...UPMC Shifts Site To An Outpatient Emergency Department
UPMC is converting a small hospital in rural Clinton County, Pennsylvania, to an outpatient emergency department (ED) under the state’s new Innovative Hospital Models project. Innovative Hospital...Sponsored by Brault Practice Solutions
How the 2023 Physician Fee Schedule Impacts Emergency Medicine Groups
UPDATED 01/04/2022 CMS released its 2023 update of the Medicare physician fee schedule (MPFS), which impacts Medicare Part B payments for emergency services, diagnostic testing, and other...Providers, Payers In Ongoing “Tug-of-War” Over ED Coding, Study Says
There has been a significant increase in high-intensity billing for emergency care services over the last decade, according to a new study published in Health Affairs. The observational study of US...Sponsored by Brault Practice Solutions
Unpacking the No Surprises Act, Its Impact on Emergency Medicine
The federal No Surprises Act (NSA) went into effect on January 1, 2022, to protect patients from surprise medical bills. Specifically, those that may result from out-of-network (OON)...ACEP Urges Biden Admin to Address Emergency Department Boarding
The American College of Emergency Physicians (ACEP) and over 30 medical associations have urged the Biden Administration to assemble a summit of healthcare stakeholders to address immediate and...ED-ICU Model Maintains ED Costs, Improves Value of Healthcare Delivery
Total cost per emergency department (ED) patient encounter remained unchanged at an academic medical center after it implemented an emergency department-based intensive care unit (ED-ICU), indicating...Sponsored by Brault Practice Solutions
Observation Care CPT Updates to Impact Emergency Physician Reimbursement
The American Medical Association (AMA) has released new CPT guidelines for patients in Observation status, including some that may significantly impact emergency physician reimbursement. These updates...Sponsored by Brault
How Hospitals, EDs Effectively Code Social Determinants of Health
In 2021, the Centers for Medicare & Medicaid Services (CMS) issued guidance to emphasize the importance of social, economic, and environmental factors that can affect the health outcomes of...Sponsored by Brault
2022 Claims Reimbursement Updates in Emergency Medicine
Emergency department providers are still reeling from the effects of the ongoing pandemic. But other important updates are also happening in the background—and they are likely to impact emergency...HHS to Form Ambulance Billing Advisory Committee, Per No Surprises Act
HHS is creating a federal advisory committee to address ground ambulance billing practices in its latest step toward No Surprises Act implementation. In an announcement on Friday, HHS said the Ground...Air Ambulance Prices Rose Substantially for Commercially Insured
The price for air ambulance transports has risen substantially over the past couple of years, especially for commercially insured patients, according to a recent FAIR Health analysis. The analysis...Home Discharge Program Prevents Hospital Readmission For ED Patients
An at-home discharge service piloted at Penn Medicine successfully prevented hospital readmission in nine out of 10 emergency department patients, according to a study published in Healthcare that...Urgent Care Increases Lower-Acuity Spending, Deters Some ED Visits
While urgent care has deterred lower-acuity emergency department visits over the past decade, a new study published in Health Affairs suggests that the rise of urgent care centers has increased overall...Sponsored by Brault
