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.

ACR blasts ‘deeply flawed’ Anthem policy targeting out-of-network radiologists
Last month, the insurance giant announced it will begin charging hospitals a 10% administrative penalty for claims that involve docs outside of its networks.
Radiology provider Lumexa Imaging seeks to raise $200M through IPO
If the effort succeeds, the Raleigh, North Carolina-based imaging group would soon begin trading on the Nasdaq under the ticker symbol LMRI.
Colorado law barring medical debt from credit reports faces federal challenge from trade lobby
While the law sunsets in 2028, ACA International and the debt collector Creditors Bureau USA are not waiting. They filed a lawsuit in federal court arguing that Colorado is illegally restricting free speech, in violation of the First Amendment.
$64M raised for new cardiogenic shock drug—research already underway
Procizumab was developed to change the trajectory of shock by addressing an underlying molecular driver rather than just managing symptoms.
Interventional radiologists who neglect E&M visits risk losing more lucrative procedures
“This study affirms that when interventional radiologists are afforded the time to evaluate and follow their patients, the complexity and value of the care they provide increases," one expert notes.

SCAI President Srihari S. Naidu, MD, professor of medicine at New York Medical College, explained some of the key payment issues interventional cardiologists are facing amid declining Medicare reimbursements.

SCAI fighting for interventional cardiologists amid challenging payment policies

SCAI President Srihari Naidu, MD, detailed some of the challenges interventional cardiologists face as reimbursements keep declining. The group has been building new partnerships with other medical societies to strengthen its influence in Washington.

Republicans win shutdown showdown—Senate agrees to funding deal without ACA subsidy extension

With eight Democrats agreeing to the Republican-backed deal that reverses the firings of federal workers, the Senate now has the 60 votes needed for the bill to advance. The rehirings will include the 1,200 workers fired at the Department of Health and Human Services.

RadNet reports 'record' quarterly revenue alongside rising procedural volumes

The outpatient imaging center operator's latest financial report highlights positive trends “in virtually all aspects of the business.”

Siemens Healthineers partnering with NYU Langone Health for $100 million deal

The new agreement indicates Siemens will supply NYU Langone Health with its latest gamut of advanced diagnostic imaging offerings across its network of over 300 outpatient and hospital locations.

radiology reporting EHR health record CDS AUC

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.

Economics

ACR blasts ‘deeply flawed’ Anthem policy targeting out-of-network radiologists

Radiology provider Lumexa Imaging seeks to raise $200M through IPO

Colorado law barring medical debt from credit reports faces federal challenge from trade lobby

$64M raised for new cardiogenic shock drug—research already underway

Interventional radiologists who neglect E&M visits risk losing more lucrative procedures