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Insurers eventually approve most denials, though payer-mandated changes may be compromising care

Money handcuffs price cost cap

Across over 200 radiation therapy denials at a single institution, 98% eventually led to the delivery of RT with delays sometimes as long as 49 days. 

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Industry Watcher’s Digest

artificial intelligence AI in healthcare

Image by Alexandra Koch via Pixabay

Buzzworthy developments of the past few days.

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Radiologists among top specialists with wealth over $5M. How are they spending it?

About 31% of radiologists surveyed said they have attained this level of income, placing the specialty in a tie for No. 2 with gastroenterology. 

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Biden administration proposes banning medical bills from credit reports

medical billing_2.jpg

The Consumer Financial Protection Bureau also wants to stop credit reporting companies from sharing medical debt information with lenders, among other changes. 
 

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US healthcare is flush with venture investments in AI: Silicon Valley Bank report

healthcare AI venture capital investments

Photo from Startup Stock Photos

The past five years have been boom times for AI startups courting venture investors in healthcare, and the good times just keep rolling.

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CVS generic drugs twice as likely to be recalled over safety concerns, investigation finds

CVS Health announces $10.6B acquisition of Oak Street Health

CVS generics have been linked to more than 15 manufacturers cited for producing allegedly contaminated drugs.

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Coalition seeks to simplify prior authorizations and improve Medicare Advantage coverage

AMA fixing prior authorization at the AMA 2022 House of Delegates meeting. Photo by Dave Fornell

More than 380 organizations have expressed support for the bipartisan Improving Seniors’ Timely Access to Care Act, which unanimously passed a House vote in 2022.

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Congress reintroduces radiologist-supported bill aimed at curbing prior authorization

Roger Marshall Senate Congress Durbin

Sen. Roger "Doc" Marshall, MD, R-Kan. (center)

Source

Sen. Marshall's Facebook page

Over 370 organizations support the legislation including the American College of Radiology, Society of Interventional Radiology and the Association of Academic Radiology. 

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Cardiologist-supported prior authorization reform reintroduced in Congress

The Improving Seniors’ Timely Access to Care Act has been considered by Congress multiple times, getting closer than ever in 2023. Will 2024 be the year it finally lands on the president's desk?

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Applying Node-RADS to breast MRI exams improves staging

The scoring system has shown great utility in predicting lymph node invasion in various cancers, but until recently, its use in patients with breast cancer had not been thoroughly explored. 

  • Read more about Applying Node-RADS to breast MRI exams improves staging

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