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.

PocketHealth's latest agentic AI offering improves patient compliance, reduces administrative costs
Conductor is a platform of AI-enabled agents that can read clinical documents and orders, call patients and orchestrate appointments.
GLP-1 weight loss drugs will now be covered by Medicare and Medicaid—and available at a discount through TrumpRx
Novo Nordisk and Eli Lilly have agreed to sell their popular Wegovy and Zepbound injectables through TrumpRx.gov for a discounted rate, as the White House promises that Medicaid and Medicare plans will begin covering the costs.
Ohio AG investigating business practices of nonprofit safety net hospital
Authorities said in a court filing that they received a complaint about Northeast Ohio Neighborhood Health Services’ business practices. The health system owes more than $12 million to creditors, and investigators are asking to see its financial records.
Society of Interventional Radiology urges UHC to update policy on radioembolization treatment
SIR contends that payments toward transarterial radioembolization (TARE)/selective internal radiation therapy (SIRT) should extend beyond the current coverage limitations in patients with liver cancer and metastases.
Novel CT power-save mode could cut per-scanner costs by $1.5M annually
Investigators with University Hospital Basel, Switzerland, recently explored the use of a “promising” new option that reduces energy consumption during brief, inter-examination idle intervals.

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PocketHealth's latest agentic AI offering improves patient compliance, reduces administrative costs

Conductor is a platform of AI-enabled agents that can read clinical documents and orders, call patients and orchestrate appointments.

GLP-1 weight loss drugs will now be covered by Medicare and Medicaid—and available at a discount through TrumpRx

Novo Nordisk and Eli Lilly have agreed to sell their popular Wegovy and Zepbound injectables through TrumpRx.gov for a discounted rate, as the White House promises that Medicaid and Medicare plans will begin covering the costs.

Ohio AG investigating business practices of nonprofit safety net hospital

Authorities said in a court filing that they received a complaint about Northeast Ohio Neighborhood Health Services’ business practices. The health system owes more than $12 million to creditors, and investigators are asking to see its financial records.

prior authorization claim deny denial insurance insurer payer Medicare Advantage

Society of Interventional Radiology urges UHC to update policy on radioembolization treatment

SIR contends that payments toward transarterial radioembolization (TARE)/selective internal radiation therapy (SIRT) should extend beyond the current coverage limitations in patients with liver cancer and metastases.

radiologist radiology pay compensation money dollar

Novel CT power-save mode could cut per-scanner costs by $1.5M annually

Investigators with University Hospital Basel, Switzerland, recently explored the use of a “promising” new option that reduces energy consumption during brief, inter-examination idle intervals.

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Medicare MRI reimbursement has plummeted 77% since 2003, when adjusting for inflation

Exams are being delivered faster, thanks to abbreviated protocols, but experts contend insurers should not cut MRI pay because of such efficiencies.

Rad Partners commercializes teleradiology platform pioneered by acquired company vRad

The product is a fully integrated, artificial intelligence-enabled technology tool, providing real-time analytics to interested outside radiology groups.

Optum UnitedHealthcare UnitedHealth Group HQ

UnitedHealthcare reimburses its Optum providers at a 17% premium, study finds

The findings are from research conducted by the Commonwealth Fund that looked at nationwide provider reimbursement data. While the sample size is small, it shows the insurer tends to favor its own doctors.