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.

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.
Interventional radiologists who neglect E&M visits risk losing more lucrative procedures
“This study affirms that when interventional radiologists are afforded the time to evaluate and follow their patients, the complexity and value of the care they provide increases," one expert notes.

Medicare releases 2026 physician fee schedule, finalizing cuts opposed by radiology

Medicare is finalizing a controversial “efficiency adjustment” and cuts related to practice expenses—both opposed by imaging groups earlier this year.

CMS 2026 physician fee schedule emphasizes chronic disease management, includes pay raise

The Centers for Medicare & Medicaid Services announced a 3.26% reimbursement increase for all providers, with those enrolled in alternative payment models seeing a higher rise.

At the recent American College of Cardiology (ACC) Legislative Committee meeting, leaders warned that ongoing federal policy uncertainty threatens patient access and the stability of cardiovascular care. Cathie Biga, MSM, immediate past president of the ACC, outlined growing concerns over telehealth, shrinking Medicare reimbursement, and mounting physician workforce shortages driven by visa restrictions.

ACC raises red flags over telehealth, payment reform and the cardiologist shortage

"We need telehealth the way we had it for COVID," Cathie Biga told Cardiovascular Business at TCT 2025. "We don't want to go back to having it so restricted."

Novo Nordisk, Pfizer enter bidding war for biotech startup—and it is getting ugly

Pfizer was all set to acquire New York City-based Metsera for $4.9 billion, but Novo Nordisk stepped in with an unexpected counteroffer of $6.5 billion. Both companies hope to add Metsera's drugs to their GLP-1 portfolios.

Rural hospital switches radiology providers to address lagging wait times

Hillsdale Hospital has entered an agreement with Kalamazoo, Michigan-based Premier Radiology, with the new arrangement starting Oct. 21.

Private equity-backed Medline files for IPO

The company, founded in 1966, has been providing supplies to cardiac surgery suites and cath labs for decades.

An Illinois appellate judge upheld a pervious trial victory that cleared and central Illinois cardiologist Amit Dande, MD, and Prairie Cardiovascular Consults LLP of alleged misdiagnosis of the severity of a patient's heart condition that led to his death prior to a schedule percutaneous coronary intervention (PCI).

Medical malpractice reforms appear to curb unnecessary imaging in ED

State caps on malpractice damages were associated with a roughly 21% decrease in low-value imaging use for headaches, according to new Neiman Policy Institute research.

Rayus Radiology joins others in offering $40 mammography AI add-on service

The private equity-backed imaging group is initially launching artificial intelligence-enhanced breast imaging at clinics across Washington state.

Economics

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

Interventional radiologists who neglect E&M visits risk losing more lucrative procedures