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STS submitted a response to the proposed Centers for Medicaid & Medicare Services (CMS) hospital inpatient rule.  

Key highlights included:  

• Recommendations for improving the Transforming Episode Accountability Model, which will impact all coronary artery bypass grafting procedures at select hospitals starting in January 2026. 
• Suggestions for programs like the Merit-Based Incentive Payment System, global surgical post-operative data reporting, and the appropriate use criteria program for deregulation.
• Examples of ways CMS can enhance data quality through standardized collection of unique device identifiers and improved imaging interoperability. Additionally, we continue to advocate for access to federal claims data to support long-term clinical outcomes research.  

Read the full letter.  

Senate Intensifies Negotiations on the Reconciliation Bill

The Senate needs to hear from surgeons about reconciliation! Make your voice heard now.

• There are key concerns regarding the legislation, including substantial cuts to Medicaid, which could leave millions of people uninsured.
• The proposed increases to Medicare physician payments are modest despite ongoing financial pressures.

Legislation includes significant changes to federal student loan programs that could reduce access to affordable financing for medical education.  

The 2025 STS Coronary Conference was held from June 12–14 in Chicago, bringing together more than 200 healthcare specialists from around the world. This three-day event was delivered groundbreaking insights and hands-on training for professionals involved in coronary surgery. “More and more, the concept of a coronary surgery specialist is emerging, and this conference supported that development by providing the education needed to acquire and validate the relevant skills and knowledge at each surgeon’s institution,” said co-course director Marc Ruel, MD, of the University of Ottawa Heart Institute.

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The conference featured a comprehensive program that focused on advanced surgical techniques, minimally invasive methods, and the latest technological innovations in the field. Attendees engaged with leaders in cardiothoracic surgery through lectures, panel discussions, and collaborative learning activities.

Each day included expert-led sessions covering a wide range of topics, including radial artery and BITA grafting, evidence-based practices, and technical pearls in coronary surgery. Participants also attended sessions on academic career development and minimally invasive, hybrid, and robotic CABG techniques. Highlights of the conference included keynote lectures, interactive case discussions, and surgical video presentations that allowed attendees to explore complex intraoperative and postoperative decision-making strategies in greater depth.

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A key feature of the event was the introduction of the Training Village, a non-CME, hands-on learning space that featured cutting-edge surgical simulations and demonstrations and allowed attendees to gain practical experience under expert guidance. 

The Training VIllage was organized into three stations:  

• Anastomosis Masterclass, which focused on advanced anastomotic techniques
• Flow Measurement & Quality Control, where attendees practiced using intraoperative assessment tools to improve graft outcomes; and
• Atrial Fibrillation Treatment, which provided instruction on left atrial appendage clipping and intraoperative Maze procedures.

“The Training Village was a great example of the conference’s practical component—emphasizing ‘know-how’ and ‘how-to’ over abstract concepts or theory, if you will,” said Dr. Ruel.

Throughout the conference, attendees participated in a wide array of engaging sessions, such as "Mastering Coronary Surgery: Expert Techniques," "Making the Most of Your Conduits," and "Which Kind of Academic Surgeon Do You Want to Be?" These sessions focused on developing both technical skills and strategic thinking.

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By the end of the conference, participants had expanded their clinical knowledge, honed their skills, and networked with peers and leaders in coronary surgery. “As both a moderator and presenter, I left feeling inspired by the exchange of ideas and the shared commitment to advancing progress in coronary surgery,” said Brittany Zwischenberger, MD, of Duke University.

Check out our event photo gallery.