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.

Medicare Advantage grows into a $10B-plus opportunity for go-getter brokers selling plans for private insurers
These third-party marketers earn commissions from their insurer clients not only upon initial signups but also every time “their” enrollees renew without changing plans.
Rapid brain MRI protocols cut payer costs while patient out-of-pocket spending remains unchanged
This type of imaging is increasingly being implemented in clinical care, though financing and billing practices have lagged these advances, experts write in Pediatric Radiology.
SimonMed hopes to drum up whole-body MRI business
The Tucson, Arizona-based radiology practice announced it will offer 20% discounts on its longevity scans to the military, veterans and first responders.
Cardiologists scramble to prepare for mandatory heart failure payment model
Samuel Jones, MD, reviews some of the biggest concerns about a new Medicare payment model focused on heart failure care that goes live in 2027.
Boston Scientific invests $1.5B in MiRus with option to buy its TAVR business
Boston Scientific has invested heavily in Georgia-based MiRus, a rising name in the competitive TAVR landscape.

Medicare Advantage grows into a $10B-plus opportunity for go-getter brokers selling plans for private insurers

These third-party marketers earn commissions from their insurer clients not only upon initial signups but also every time “their” enrollees renew without changing plans.

Rapid brain MRI protocols cut payer costs while patient out-of-pocket spending remains unchanged

This type of imaging is increasingly being implemented in clinical care, though financing and billing practices have lagged these advances, experts write in Pediatric Radiology.

scanner money radiology dollar MRI CT payment compensation

SimonMed hopes to drum up whole-body MRI business

The Tucson, Arizona-based radiology practice announced it will offer 20% discounts on its longevity scans to the military, veterans and first responders.

Samuel Jones, MD, MPH, director of inpatient electrophysiology at the Memorial Hospital, Chattanooga Heart Institute, discusses concerns over new heart failure Medicare Ambulatory Specialty Model payment model that starts on Jan. 1, 2027.

Cardiologists scramble to prepare for mandatory heart failure payment model

Samuel Jones, MD, reviews some of the biggest concerns about a new Medicare payment model focused on heart failure care that goes live in 2027.

Boston Scientific invests $1.5B in MiRus with option to buy its TAVR business

Boston Scientific has invested heavily in Georgia-based MiRus, a rising name in the competitive TAVR landscape.

ROI research: Community health workers are an unsung bargain

U.S. healthcare gets plenty of bang for its buck out of community health workers (CHWs), according to a systematic review of the relevant published research.

Despite 63% increase in mental health utilization, overdoses and suicides for men rise

No group fared particularly well in an analysis from Trilliant Health looking at publicly reported data. Most of the new utilization of mental health services was for anxiety, with women seeking care most often.

Optum UnitedHealthcare UnitedHealth Group HQ

Optum Rx outlines changes to PBM business model, promising price transparency

The company made the changes after its manufacturer rebates for insulin were challenged by the Federal Trade Commission. Among other shifts, Optum said 100% of all rebates will be distributed to customers by 2028.