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.

CMS to require COVID-19 vaccination at care facilities that accept Medicare, Medicaid by Jan. 4

Officials said the requirement applies to some 76,000 facilities employing more than 17 million healthcare workers across the U.S. 

Department of Justice DOJ

Change Healthcare, UnitedHealth honor DOJ info request, amend timing of merger

Under the Department of Justice pact, the two data giants agreed not to consummate the merger before Feb. 22, 2022. 

money maze payment reimbursement

CMS finalizes 2022 Medicare Physician Fee Schedule—payments to cardiologists take a hit

Also, penalties for failing to comply with the Appropriate Use Criteria program have been delayed yet again. 

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CMS raising rate for outpatient lung cancer screening by more than 37% in final rule

The update is part of a slew of changes in the Medicare Hospital Outpatient Prospective Payment System final rule. 

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Top-cited interventional radiology studies average $57K in undisclosed payments

Among the 396 authors of the top 100 most-referenced publications, 97% neglected to disclose at least one active financial relationship, according to a new analysis.

Montefiore

UnitedHealthcare, hospital system reach agreement after spat over imaging costs 2-3 times local average

UHC cut Montefiore out of network in January, calling it “New York City’s most expensive health system," but plans to restore access Dec. 1. 

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Boston-based pharmaceutical company raises $300M to develop cardiovascular treatments

The investment is expected to go toward ramping up development, bringing in additional employees and more. 

10 principles that 3 regulators deem essential for healthcare AI development

Makers of AI models for use in healthcare should think through the potential actions of any “humans in the loop” of their tool’s implementation in real-world clinical settings.