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.

Radiology societies join initiative to fight payer restrictions around key interventional service
ACR, SIR and others altogether representing over 100,000 physicians recently wrote to 5 of the 7 Medicare Administrative Contractors to voice their concerns.
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.

Medicare Advantage Part C clipboard payment

Two insurers dominate most Medicare Advantage markets, report finds

Over 97% of all counties in the U.S. see high or very high levels of consolidation in Medicare Advantage markets, with UnitedHealthcare and Humana owning the most plans nationwide.

Steward sues former CEO over alleged pilfering that contributed to bankruptcy

Former Steward Health Care CEO Ralph de la Torre, MD, and other executives are accused in a $1.4 billion legal filing of paying themselves hundreds of millions of dollars in bonuses, despite the health system being insolvent.

Patients who visit providers via telemedicine undergo significantly fewer imaging exams

Researchers with the Neiman Health Policy Institute recently investigated how COVID-related care site shifts impacted diagnostic radiology, sharing their findings in JACR.

Southern Indiana Radiological Associates

Health system buys full ownership of imaging center jointly held by pioneering radiology group

IU Health has purchased 100% control of the radiology facility located on Landmark Avenue in the community of Bloomington.

artificial intelligence money finance acquisition

Medicare Physician Fee Schedule includes CPT code, $1,000 payment amount for imaging AI software

CMS is suggesting such reimbursement for coronary plaque analysis software, offered by vendors Cleerly, Elucid and HeartFlow.

Reimbursement for contrast-enhanced mammography is on the rise

New global survey data suggest organizations have not let the lack of reimbursement affect their decision to implement CEM.

Alan Matsumoto, MD, chairman of Board for the American College of Radiology, explains Medicare cuts over the past 20 years lowered physician payments 33% and they can no longer cover expenses. The "Big Beautiful Bill" helps addressing this, but fails to make up decades of cuts to physician pay.

ACR says Medicare physician payments are unsustainable, urges congressional action

Alan Matsumoto, MD, chair of the American College of Radiology board, discusses how cuts over the past 20 years have lowered physician payments 33%.

artificial intelligence AI money brain dollar

American College of Radiology assembles experts to investigate economics of AI

Their mission is to address the lack of Medicare, Medicaid and private insurance reimbursement for AI tools used in medical imaging.

Economics

Radiology societies join initiative to fight payer restrictions around key interventional service

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