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.

Provider participation in Medicare rose 6.3% over 10 years, peaking in 2019
A new study published in JAMA, which looked at fee-for-service Medicare records from 2013–2023, found that overall participation has trended upward. However, the details paint a complicated picture.
Report: ACA premiums to jump 30%, CMS documents show
The Washington Post reported that it reviewed documents from the Centers for Medicare & Medicaid Services, confirming that the cost of medical coverage is set to spike for 17 million Americans. Open enrollment for coverage through Affordable Care Act exchanges begins on Nov. 1.
PSMA-PET imaging not the most cost-effective option for many prostate cancer patients
The exam effectively helps providers manage patients’ treatment options, but for some, the costs associated with those treatments may negate the value of its findings.
Radiology groups rail against additional tariffs on imaging devices
RSNA, RadNet, the RBMA and Japanese imaging leaders all recently spoke out against the possibility of more fees on device imports.
Proposed tax on billionaires in California would generate $100B for Medicaid, backers say
The ballot measure was recently sent to the state attorney general’s office for approval. Once cleared, supporters can begin collecting signatures for its inclusion in the 2026 elections. The proposed law has the backing of one of the largest labor unions in the state.

Senate reconciliation bill blunts tax change radiologists say could harm private practices

"We were pleased to see a partial restoration of the PTET deduction, but we will continue to fight for the full deduction before the bill reaches the president’s desk," one lobbyist tells Radiology Business.

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Major health insurers agree to reduce prior authorization burden for imaging and other services

AHIP, the industry’s largest lobbying group, made the commitment Monday alongside over 50 payers including UnitedHealthcare and the BCBS Association.

Radiology Partners constrained by high interest expenses, low cash-flow generation: S&P

UPDATED: The analysis comes in response to a proposed $1.5 billion term loan for RP, due in 2032, along with $800 million in secured notes and a $390 million revolving credit line.

Private equity-backed radiology groups expand in 2 markets

Solis Mammography is adding a new location in Washington, D.C., while US Radiology Specialists is building two in South Carolina.

Report: Medicaid cuts could force hundreds of rural hospitals to close their doors

A report from the Chartis Center for Rural Health warns that many hospitals in rural communities are at risk of closure if Medicaid cuts pass through Congress and are enacted by President Donald Trump. According to the analysis, women and newborns will disproportionately lose access to care.

prior authorization claim deny denial insurance insurer payer Medicare Advantage

Physicians speak out against payers’ growing use of AI to deny imaging requests

Heart imaging specialists contend that the deployment of artificial intelligence "is making the issue of prior authorization worse, not better."

Private equity firm Nordic Capital invests in imaging research outfit

Minerva Imaging has experienced "rapid growth" in recent years amid rising demand for precision medicines, collecting 2024 revenue of $35 million.

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Johnson & Johnson MedTech faces threat of permanent injunction after losing antitrust case

After being ordered to pay $442 million in damages—a ruling the company has said it may appeal—Johnson & Johnson MedTech is now facing the possibility of a permanent injunction that could impact certain business practices. A hearing is scheduled for July.

Economics

Provider participation in Medicare rose 6.3% over 10 years, peaking in 2019

Report: ACA premiums to jump 30%, CMS documents show

PSMA-PET imaging not the most cost-effective option for many prostate cancer patients

Radiology groups rail against additional tariffs on imaging devices

Proposed tax on billionaires in California would generate $100B for Medicaid, backers say