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Practice Management


People with HIV and risk factors for heart disease and stroke are less likely to receive prescriptions for statins and aspirin than those without HIV, according to a study in the Journal of the American Heart Association.

During the Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium, Michael J. Rinaldi, MD, showed a survey of 92 health systems in which 52 percent reported an average negative margin on TAVR procedures. In an hour-long session, Rinaldi and other experts agreed shortening hospital stays and reducing the number of days spent in the intensive care unit (ICU) are key aspects in making TAVR more profitable for hospitals.

Interventional cardiologists are exposed to chronic low-dose radiation, which can lead to adverse health conditions. At a Nov. 1 presentation at the Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium in Denver, Wieneke Vlastra, MD, reported a 20 percent decrease in radiation exposure for operators when a lead-free disposable pad was placed on the patient.

William Oetgen, MD, MBA, has been elected chairman of the MedStar Health Board of Directors, the American College of Cardiology (ACC) announced in a release today. He will serve a two-year term.

When Robert Hromas, MD, MS, began working at University of Florida Health seven years ago, he heard a gripe that is likely echoed in academic medical centers across the country.


Recent Headlines

“Are We There Yet?” Pediatric Cardiologists Work Through Telemedicine’s Glitches

Pediatric cardiologists say they can use telemedicine to improve patient care and ease the burden on patients’ families. But with the costs of these programs stretching into the hundreds of thousands, and a patchwork of reimbursement and regulations to contend with, what does it take to find success with pediatric telecardiology?

Press for Success: Avoiding Insurance Denials for PCSK9 Inhibitors

The availability of a specialty drug doesn’t guarantee its accessibility, as cardiologists who try to prescribe PCSK9 inhibitors to their patients are learning. Insurers’ requirements for prior authorizations can create formidable barriers, but some providers have found ways to surmount them.

Branching Out: Ask These 5 Questions Before Launching a Vein Care Service Line

Some hospital systems are considering offering integrated vein care centers. One of the challenges they face is uncertainty about reimbursement.

The SNF Test: Rethinking Discharge Decisions & Postacute Care Partnerships to Improve Outcomes

With the passage of MACRA and introduction of new reimbursement models, hospitals are analyzing the costs and benefits of sending patients to skilled nursing facilities (SNFs).

When Registries Aren’t Fast Enough: How Real-time Feedback Helps with Rapid Leaps & Hairpin Turns

When implementing new technologies, success sometimes hinges on how quickly and efficiently we collect, analyze and react to data.

'Open gym' approach shortens wait times for cardiac rehab

Longer wait times for initial cardiac rehabilitation sessions have been linked to decreased participation. Looking to mitigate this issue, Vanderbilt University researchers implemented a group enrollment and "open gym" format for rehab patients and studied its effect on wait times.

5 takeaways from ACC's response to MIPS updates

The American College of Cardiology (ACC) released an official comment on Aug. 21 in response to proposed updates to the Merit-based Incentive Payment System (MIPS) established with the Medicare Access and CHIP Reauthorization Act (MACRA). Here are five key takeaways from the 22-page statement.

Four hospitals meet CMS requirements for carotid artery stenting

One California hospital and three facilities on the East Coast have been approved to perform carotid artery stenting procedures by CMS.

Physicians propose eliminating CK-MB test to save costs, improve clinical practice

A popular cardiac biomarker test is now obsolete but continues to cost healthcare providers millions each year, according to a research article published in JAMA Internal Medicine.

MI readmissions—varying in cause, timing—require nuanced care

One in five who experience a myocardial infarction (MI) will be back in the hospital within a month. Researchers from the Cleveland Clinic evaluated the risk of readmission cause by MI to understand when and why patients are at risk for readmission to control costs and improve care.