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New CMS Rules Represent Tremendous Opportunity for ASCs

Posted by Debra Zalvan on Mar 9, 2021 6:04:35 PM

In 2021, the U.S. Centers for Medicare & Medicaid Services (CMS) authorized payment to ambulatory surgery centers (ASCs) for outpatient hip replacement surgeries, adding to the outpatient knee replacement surgeries authorized the previous year. 

The size and projected market growth for outpatient total knee and hip replacement surgeries represent tremendous opportunity—with a projected $13.5B in total joint replacement (TJR) business for ASCs, and nearly half of all joint replacement surgeries expected to move to outpatient centers by 2026.

But while the market and opportunity for ASCs is enormous, so are the challenges, as:

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Topics: CMS, joint replacement, ASC

It's Impacting Your 5-star Rating — Are You Tracking This Metric?

Posted by Debra Zalvan on Sep 26, 2019 7:30:00 AM

In a recent post, we suggested that you Forget the CMS Star Ratings Debate and Focus on Quality Care. But that's not to suggest you should forget about the star ratings themselves. Today's consumers seek out — and attach great importance to comparative ratings that are reported by their peers (think Yelp®, TripAdvisor®, or even Amazon®). A 2018 report from Deloitte, Inside the patient journey: Three key touch points for consumer engagement strategies, reported that more consumers are using quality ratings than in previous years. We must assume the Centers for Medicare & Medicaid Services (CMS) star ratings will be an increasingly important resource for healthcare consumers in the future.

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Topics: Patient Experience, patient activation, CMS, star ratings, patient satisfaction, NPS, deloitte, net promoter score, Betsy Weaver, UbiCare, SmarteXp

Forget the CMS Star Ratings Debate & Focus on Quality Care

Posted by Debra Zalvan on Sep 12, 2019 7:00:00 AM

The Star Ratings Debate

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Topics: Improving Patient Outcomes, Patient Experience, patient activation, CMS, star ratings, latent variable model