Economics

This channel highlights factors that impact hospital and healthcare economics and revenue. This includes news on healthcare policies, reimbursement, marketing, business plans, mergers and acquisitions, supply chain, salaries, staffing, and the implementation of a cost-effective environment for patients and providers.

Department of Justice DOJ

Cardiology practice, cardiologists pay $4.75M to resolve DOJ fraud allegations

The physicians allegedly performed medically unnecessary ablation procedures as part of a years-long fraud scheme.

money maze benjamin franklin reimbursement medicare

Radiology groups push UnitedHealthcare and Cigna to update payment policies for key service

The American College of Radiology, Society of Interventional Radiology and others are concerned about how the two commercial insurers regulate peripheral nerve stimulation. 

Anthem Elebance blue cross blue shield bcbs

Anthem expanding policy that punishes hospitals who use out-of-network radiologists

Meanwhile, docs have helped defeat the controversial policy's implementation in Indiana with the passage of Senate Bill 189. 

RadNet Nasdaq CEO Howard Berger MD

RadNet’s stock price falls 20%, driven down by 3 potential factors

The downgrade comes amid concerns the radiology provider may have overpaid in its $270 million bid to buy Paris-based AI firm Gleamer.  

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High costs may be keeping working-age heart patients from seeking care

When working-age adults develop cardiovascular disease, it often ends up eating up a significant amount of their income. Are insurance companies doing enough to help these patients? 

healthcare value value-based care money dollar

Vascular surgeons deliver major value in terms of patient outcomes and health system profitability

Vascular surgeons play a critical role in today's evolving healthcare landscape. However, researchers noted, they often do not get the respect or appreciation they deserve.

heart patient

A ‘disquieting plateau’: Healthcare costs are up, but survival among heart patients stays the same

The cardiovascular mortality rate in the United States decreased dramatically from 2000 to 2011. Since then, however, it has remained relatively unchanged.

Anders Gilberg, senior vice president, government affairs at Medical Group Management Association (MGMA), explains numerous changes in federal healthcare policy since the start of 2026, including extending telehealth, rural health payments, possible solutions to prior authorization burden in Medicare Advantage.

MGMA outlines healthcare policy progress in Congress for 2026

The Medical Group Management Association explains some positive federal healthcare policy movement since the start of 2026, including extending telehealth and rural health payments, and possible solutions to the prior authorization burden in Medicare Advantage.