Becker's Healthcare September 23, 2024
Andrew Cass

Leaders of the four major publicly traded for-profit health systems were asked about the effects of the expansion of the two-midnight rule during the Wells Fargo Healthcare Conference held in early September.

Mike Marks, the CFO of Nashville, Tenn.-based HCA Healthcare, said the system has seen a “modest benefit” for the expanded rule. He said that during the first six months, they’re seeing their physician community adapt and are writing more inpatient orders and fewer observation visits, particularly for accounts over $2 million, “as expected.”

As for how the rule is playing out with payers, Mr. Marks said HCA has seen a slight improvement in denial rates, which he is encouraged by. He said there are still too many...

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