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.

Duke Health, Aetna reach agreement to keep members in-network
The new contract was signed just ahead of the Oct. 20 deadline. The insurer and academic health system were in dispute over reimbursement rates. The exact terms of the new multi-year agreement are unknown.
ACC and AHA outline calculation of cost-effectiveness in clinical practice guidelines
Healthcare's cost-conscious environment prompted the ACC and AHA to develop a statement on the value methodology to be used when creating clinical practice guidelines.
Emergency departments’ use of CT imaging has increased substantially since 2013
This uptick was attributed to more scans being administered per ED visit, rather than a rise in overall patient volumes, an analysis of Medicare data found.
SCAI outlines broken Medicaid reimbursement model for congenital heart disease
SCAI says many children and adults living with congenital heart disease are being left behind by a payment system that does not adequately value their care.
Department of Commerce launches investigation into imaging device imports, with potential for new tariffs
Authorities are seeking to determine the impact on national security of importing CT scanners, MRI machines, X-ray apparatuses and other radiologic equipment.

Cigna will cover CT imaging artificial intelligence software nationwide

The Bloomfield, Connecticut-based payer has committed to covering plaque analysis software offered by several competing vendors including Heartflow.

Radiologists buy back control of practice from private equity platform

Jones Radiology had been part of fellow Australian company I-Med Radiology Network for over 25 years before buying back the 49% company stake.

Anders Gilberg, MGA, Senior Vice President, Government Affairs at Medical Group Management Association (MGMA), said the rapid fire changes in healthcare policy under the Trump administration has been a whirlwind with a mix of reactions by stakeholders to policies based on reality and and also perception of possible impacts. #MGMA

MGMA weighs in on Washington’s political turmoil, Medicaid cuts and healthcare policy uncertainty

“It’s been a whirlwind,” Anders Gilberg, senior vice president of government affairs at MGMA, told HealthExec. “Rarely do we have an administration come in and do so much in such a short period of time.”

money cost cutting Medicare scissors dollar economics

Controversial Medicare cost-cutting initiative may kill seniors, radiology society warns

The Society of Interventional Radiology on Monday formally announced its opposition to the Wasteful and Inappropriate Service Reduction (or “WISeR”) Model.

Experts call for greater scrutiny around conflicts of interest between radiologists, AI developers

"Manufacturers of radiology devices may be less likely to disclose payments because many fall outside current reporting requirements," researchers write in JAMA.

Medicaid cuts force healthcare-for-homeless program to close shelter, lay off staff

The nonprofit Boston Health Care for the Homeless Program said it expects to lose $7 million in revenue next year, thanks to provisions of the One Big, Beautiful Bill Act that reduce federal spending on safety-net healthcare programs.

radiation dose advanced imaging computed tomography

Turning off daily dormant CT scanners saves money, cuts carbon, rewards teamwork

Want to run your imaging operation more cost-effectively while doing the planet a favor? Just hit the “off” switch on your CT machines whenever they won’t be needed for any appreciable span of time.

Medicare money payment reimbursement dollar decline george washington

Radiology advocates say ‘excessive’ cut to Medicare practice-expense pay could imperil independent docs

CMS is trying to even out pay gaps between hospital and office-based physicians, but rad groups said the move lacks supporting data and could adversely impact interventinoal specialists.

Economics

Duke Health, Aetna reach agreement to keep members in-network

ACC and AHA outline calculation of cost-effectiveness in clinical practice guidelines

Emergency departments’ use of CT imaging has increased substantially since 2013

SCAI outlines broken Medicaid reimbursement model for congenital heart disease

Department of Commerce launches investigation into imaging device imports, with potential for new tariffs