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.

Looming end of Medicare rural pay adjustment raises concerns about doctor shortages
Anders Gilberg, senior vice president of government affairs at the Medical Group Management Association, explains why Congress needs to renew the Medicare geographic pay adjustments in rural areas—to make payments competitive with urban areas and help retain physicians in those communities.
New $6B Eversana looks to bypass PBMs and lower drug prices
A merger between Eversana and Waltz Health will create a new entity that CEO Mark Thierer says will upend the “existing oligopoly that I helped build.”
New York cardiologist headed to prison—DOJ says he paid for referrals, performed unneeded procedures
"Today’s sentence sends a deterrent message to doctors and the healthcare industry," according to a DOJ statement. "If you abuse patient trust for profit, you will face justice."
Hospital system no longer accepting radiology patients with out-of-network health plans
Summa Health said the change will take effect Sept. 1, with the two-hospital network ceasing scheduling of appointments for this consumer segment.
Radiology provider Akumin touts launch of its first movable PET/CT imaging centers
The Plantation, Florida, company first announced the initiative at RSNA 2024, offering clients new “relocatable and expandable” centers to be deployed across the U.S.

Anders Gilberg, MGA, senior vice president, government affairs at Medical Group Management Association (MGMA) explained the need to renew the Medicare geographic pay adjustments in rural areas to make payments more competitive than urban areas. He said this is vital to help retain physicians in rural areas who otherwise could find higher paying jobs in larger cities.

Looming end of Medicare rural pay adjustment raises concerns about doctor shortages

Anders Gilberg, senior vice president of government affairs at the Medical Group Management Association, explains why Congress needs to renew the Medicare geographic pay adjustments in rural areas—to make payments competitive with urban areas and help retain physicians in those communities.

New $6B Eversana looks to bypass PBMs and lower drug prices

A merger between Eversana and Waltz Health will create a new entity that CEO Mark Thierer says will upend the “existing oligopoly that I helped build.”

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New York cardiologist headed to prison—DOJ says he paid for referrals, performed unneeded procedures

"Today’s sentence sends a deterrent message to doctors and the healthcare industry," according to a DOJ statement. "If you abuse patient trust for profit, you will face justice."

Hospital system no longer accepting radiology patients with out-of-network health plans

Summa Health said the change will take effect Sept. 1, with the two-hospital network ceasing scheduling of appointments for this consumer segment.

Radiology provider Akumin touts launch of its first movable PET/CT imaging centers

The Plantation, Florida, company first announced the initiative at RSNA 2024, offering clients new “relocatable and expandable” centers to be deployed across the U.S.

Private equity-backed Solis Mammography opens 3 new locations

The breast imaging group is launching two locations in Texas and marking its first foray into the Raleigh metro area, with more on the way in North Carolina.

Imaging-guided surgery startup Method AI raises $20M in Series A financing

Founded in 2021 as a spinoff of the Cleveland Clinic, its platform leverages continuous 3D ultrasound and AI-generated surgical plans to guide robotic-assisted procedures.

nders Gilberg, MGA, senior vice president, government affairs at Medical Group Management Association (MGMA), shares concerns about the draft fee schedule published in July. Congress was poised to reverse part of the cut in physician pay last December, but Elon Musk intervened and no fix was made. Congress instead made promises to help in 2026, but MGMA says it is not enough.

MGMA raises alarm over 2026 Medicare Physician Fee Schedule, warns of access crisis

Many make federal reimbursement plans into an issue about high-paid specialists complaining about pay cuts, but these fees also compensate nurses, technicians, support staff and administrators. Payment keeps the doors of brick-and-mortar medical practices open, MGMA warns.