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.

Cardiologist ordered to pay $2.6M after foreign material left in patient’s femoral artery

The patient's leg remains disfigured years after the incident.

Sam Jones, MD, explains why CMS reduced payments for EP ablation and how it will negatively impact electrophysiology. #HRS #HRS2023 #EPeeps #EPlab #Medicare

Making sense of the huge Medicare reimbursement cuts in electrophysiology

Samuel Jones, MD, examines the large reimbursement reductions in cardiac ablations and what the impact might be on access to care in EP labs.

Block Imaging spinning off mobile business after announcing its acquisition by Siemens, CommonSpirit

Cube Mobile Imaging, as it’s now called, will not be involved in the transaction, instead continuing to operate as a standalone, family-owned business

Inflation continues to outpace physician compensation increases

The new data summary report, Benchmarking for the Future of Your Physician and APP Workforce, contains insight from nearly 190,000 providers across over 6,800 organizations.

Imaging advocacy group slams ‘extremely restrictive’ Medicare coverage determination

A Medicare Administrative Contractor is wrongly rejecting coverage of PET imaging in cases of infection/inflammation, SNMMI reported recently.

private health insurance claims denial delay

Hospitals set back by private payers’ penchant for declining claims, delaying payments

Commercial health insurers tend to reimburse providers considerably more per service than their governmental counterparts. However, they’re also much more likely to initially deny claims.

Breaking down the barriers to ‘opportunistic,’ population health-focused CT screening

“Regulatory and reimbursement hurdles are not insurmountable but pose substantial challenges," a panel of experts wrote recently in RSNA's Radiology.

10 trends to watch in diagnostic imaging

“To achieve organizational objectives in an ever-evolving landscape, imaging providers must develop strategies to meet increased demand for services,” Vizient experts advised.

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