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.

Former ACA Marketplace enrollee: ‘This is ridiculous—$1,200 and an $8,000 deductible for a healthy person. Really?’
A new KFF survey shows almost 10% of people who had an Obamacare Marketplace plan in 2025 decided to head into 2026 with no coverage at all. Another 28% re-enrolled but with a different—presumably lesser—plan.
Healthcare price transparency startup earns $40M in seed funding, bringing the total to $95M
San Diego-based Turquoise Health was founded in 2020 and has evolved to be a healthcare pricing engine used to develop health plan networks and contract rates. The company said its end goal is complete price transparency to make it easier for all organizations and patients to navigate the U.S. healthcare system.
EP advocacy group details 6 key policy issues
The Heart Rhythm Society's advocacy arm is monitoring such issues as prior authorization, outpatient payment policies and cancelled research funding.
Consolidation, competition, consumer costs: Healthcare econ experts break it all down, make it make sense
Market forces like competition cannot stem the urge to merge among and between payers and providers, so neither will they staunch the price hikes in premiums.
MGMA outlines path and pitfalls in CMS 2030 value-based care push
The Center for Medicare and Medicaid Innovation (CMMI) has tested nearly 40 APMs, of which only two turned out to be successful, which does not bode well for meeting a 2030 deadline to transition to value-based payments.

Modality makes big cost difference in image-guided approach to treat skeletal tumors, radiologists warn

Cost considerations should be weighed against potential radiation dose advantages when choosing an image guidance modality, experts wrote in JACR.

Imaging AI vendor’s stock leaps 86% after inking ‘strategic commercial agreement’ with Radiology Partners

ICAD Inc. said the deal spans multiple years and will see the nation’s largest radiology group adopting its breast technology across the enterprise.

CMS proposes expanding coverage for PET scans related to Alzheimer’s disease

The agency is looking to lift the longstanding NCD that restricts patients to one amyloid-detecting positron emission tomography exam in their lifetime.

Imaging vendor ViewRay files for Chapter 11 bankruptcy

The Denver-based company is letting go more than 100 staffers, including its CEO, interim CFO and chief legal officer.

healthcare value value-based care money dollar

AMA working with radiology groups to fix flawed approach that’s driving Medicare payment decisions

The Medicare Physician Fee Schedule utilizes 2006 cost information to develop practice expense relative values and resulting reimbursements.

breast radiologist breast cancer mammography

Momentum builds as Missouri becomes the 18th state to pass law bolstering breast imaging coverage

It’s also the fifth local legislature to do so in 2023, following in the footsteps of Tennessee, Washington, Maryland and New Mexico.

CMS includes more payment cuts in 2024 Medicare Physician Fee Schedule proposed rule

CMS also floated the idea of pausing the AUC program until a better implementation strategy could be put into place.

Johnson & Johnson files suit against doctors who linked the company's talc products to cancer

The multinational corporation alleges that the physicians have "made careers and small fortunes" by defaming J&J's products.

Economics

Former ACA Marketplace enrollee: ‘This is ridiculous—$1,200 and an $8,000 deductible for a healthy person. Really?’

Healthcare price transparency startup earns $40M in seed funding, bringing the total to $95M

EP advocacy group details 6 key policy issues

Consolidation, competition, consumer costs: Healthcare econ experts break it all down, make it make sense

MGMA outlines path and pitfalls in CMS 2030 value-based care push