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 provider Lumexa Imaging unveils pricing of IPO
The Raleigh, North Carolina-based company—which formerly went by US Radiology Specialists—is offering 25 million shares of common stock at $18.50 apiece.
Study finds big hospitals overpaid, rural facilities overlooked in Change Healthcare relief
Researchers from University of Minnesota found that more than 300 small, rural hospitals didn't even apply for relief. At the same time, many larger, for-profit systems received hundreds of thousands in overpayments. The findings are published in Health Affairs.
CMS data shows 5.8M Americans enrolled in ACA coverage in November—more than last year
That number includes signups on both state and federal exchanges. To date, roughly 400,000 new plans have been sold on exchanges, year over year. But the still-unknown details will determine what exactly it all means.
How US healthcare can win over—or win back—the American people
The American public’s trust in healthcare institutions, long a matter of common courtesy, fell off a cliff after the COVID-19 crisis. Two academic physicians propose a treatment pathway for the injured patient—aka our healthcare system’s reputation for reliability.
In brief: Hospitals v. pharmacies in court, lights on at all-electric hospital, money-minded nonprofits, more
A new hospital is about to become the largest in the country intended to operate on electricity only.

cardiologist Jason H. Rogers, MD, a professor at UC Davis Medical Center in Sacramento, California

Q&A: What Medicare covering TriClip means for heart patients with leaky tricuspid valves

The tricuspid valve has been at the center of several key policy shifts in recent years. In fact, Medicare now covers both T-TEER and TTVR when performed with FDA-approved devices. We spoke to interventional cardiologist Jason H. Rogers, MD, to learn more about how this momentum has impacted patient care.

Humana commits to eliminating prior authorization for certain CT, MR imaging exams

The Louisville, Kentucky-based insurer plans to eliminate approximately one-third of prior authorizations for outpatient services by Jan. 1.

Physicians increasingly exiting the Medicare program

Radiology and other specialties have expressed concern in recent years that inadequate payment rates could push practices to close or stop accepting the federal payment plan for seniors.

Solis Mammography expands partnership with HCA Healthcare

One of the country's largest operators of breast imaging centers is teaming with one of its biggest hospital systems to bolster services in 3 markets.

Interview with Alan Matsumoto, chair of American College of Radiology (ACR) Board, says Medicare physician payments are not sustainable, forcing many practices to consolidate with health systems or private equity owned companies.

ACR board chair discusses radiology's 'culture clash' between 'suits and white coats'

Alan Matsumoto, MD, explains the pros and cons of consolidation under hospital system and private equity ownership.

Radiologists, other docs voice concern over Medicare proposal to slash pay due to ‘efficiencies’

"Cutting payment for these lifesaving exams is not helpful. We look forward to working with regulators and those in Congress to arrive at more sensible imaging reimbursement policies," an ACR leader says.

private equity corporatization business consolidation

Price of care rose 15% after independent practice buyouts, study finds

A new analysis from the National Bureau of Economic Research found that reduced competition among physicians has a similar impact on market dynamics as large-scale health system mergers, despite the former not receiving regulatory attention.

Poll: Most Americans unhappy with Medicaid cuts, Trump’s tariffs

A new poll from YouGov measuring sentiment around President Donald Trump’s policies and the “Big, Beautiful Bill Act” found that the public fears healthcare costs are about to rise.

Economics

Radiology provider Lumexa Imaging unveils pricing of IPO

Study finds big hospitals overpaid, rural facilities overlooked in Change Healthcare relief

CMS data shows 5.8M Americans enrolled in ACA coverage in November—more than last year

How US healthcare can win over—or win back—the American people

In brief: Hospitals v. pharmacies in court, lights on at all-electric hospital, money-minded nonprofits, more