Features

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?

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).

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

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.

Questions have swirled around the value of percutaneous coronary intervention (PCI) for patients whose quality of life has suffered from chronic total occlusion (CTO). Inevitably, another issue has arisen: which cath labs and operators should be undertaking these difficult and costly procedures?

There’s plenty of room for clinicians in hospital C-suites. Start by appreciating nonclinical expertise, zeroing in on shared concerns and leveraging “soft power.” 

With a few practical steps, cardiology practices can meet the palliative care needs of heart failure patients.

Cardiac imaging plays an important role in the cardiac care continuum, and choosing the right test can mean all the difference in quality care for both women and men.  

Working and speaking together, through professional associations, makes the voices of cardiovascular experts more likely to be heard.

Sometimes the question you’re asked, or the one you heard, isn’t the one to answer—and other lessons learned in the data chasm.

As Medicare undergoes big changes, internally generated scorecards are becoming essential tools for physicians and practices to monitor performance and track progress toward goals.  

Did the patent foramen ovale (PFO) cause the patient’s stroke? This, experts say, is the key question when deciding whether to recommend PFO closure. Heart–brain teams can help with the answer.