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.

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Cardiology practices pay $17.7M to settle fraud allegations brought on by whistleblowers

A total of 16 cardiology practices from 12 states settled with the DOJ to resolve allegations they overbilled Medicare for imaging agents used to diagnose cardiovascular disease. 

Medicare Money dollar payment reimbursement

Congress ditches doc fix in stopgap end-of-year funding bill

“It is extremely disappointing that the incoming administration would upend a bipartisan agreement that prevented devastating cuts," the RBMA said Friday. 

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Teleradiology provider inks post-acute care deal worth $1.5M annually

VSee Health has inked a professional services contract with one of the country’s largest post-acute care hospital systems. 

American Health Imaging US Radiology Specialists

US Radiology Specialists affiliate expands into new market

Atlanta-based American Health Imaging is opening two new multimodality imaging centers around Alabama's most populous city. 

insurance insurer payment claim denial reimbursement prior authorization

Radiologist rails against insurer’s refusal to cover key interventional service

Michael Ginsburg, MD, shared his frustrations on social media after Cigna declined to reimburse for a prostate artery embolization procedure. 

Edwards Evoque transcatheter tricuspid valve replacement TTVR

CMS proposes Medicare coverage for transcatheter tricuspid valve replacement

Edwards Lifesciences sent a formal request to CMS in February after its Evoque TTVR device gained FDA approval. The agency is now accepting public comments for 30 days.

Blue Cross Blue Shield BCBS

Blue Cross Blue Shield affiliate rejects MRI contrast coverage, labeling it ‘investigational’

The BCBS decision pertains to gadopiclenol, a gadolinium-based product sold under the brand names Elucirem and Vueway. 

Medicare Medicaid reimbursement

Radiology experts say state Medicaid rates must increase to improve imaging access

Eliminating reimbursement gaps may reduce the healthcare and outcome disparities experienced by these underserved groups, ACR-affiliated researchers reported.