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.

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Most physicians still paid based on volume, despite efforts to incentivize value-driven care

More than 80% of primary care physicians and 90% of specialists employed in group practices owned by health systems receive base pay under volume-driven models, new research shows.

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Nation’s largest commercial insurer launching new program aimed at curbing imaging costs

UnitedHealthcare is currently circulating surveys to hospitals and freestanding centers, asking them to share details on their quality performance. 

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UnitedHealthcare launches program steering patients toward low-cost imaging centers

Patients will pay lower out-of-pocket costs for receiving imaging services at UHC-approved Designated Diagnostic Providers.

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Imaging group Rezolut opens 26th center with more to come via Providence partnership

The 51-hospital industry giant first partnered with Rezolut in August 2020, and the two plan to launch several more outposts through their joint venture. 

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Pharmacist gets 5 years in prison for $180M insurance fraud scam

David “Jason” Rutland paid kickbacks to distributors for prescription referrals that were medically unnecessary and illegally billed insurers.

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15% of patients admit to skipping imaging exams, other care due to out-of-pocket costs

About 1 in 3 Americans experience distress related to medical costs, and more fear paying for a serious illness rather than the illness itself, according to a new JACR study.

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Private equity-backed SimonMed partners with online imaging marketplace Tripment Health

The platform teams with radiology groups, allowing them to list locations, appointment slots and prices to target cost-conscious consumers. 

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70% of healthcare executives expect M&A activity to ramp up this year

Many see labor shortages, supply chain issues and inflation as only modest obstacles to more deals.