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.

Former ACA Marketplace enrollee: ‘This is ridiculous—$1,200 and an $8,000 deductible for a healthy person. Really?’
A new KFF survey shows almost 10% of people who had an Obamacare Marketplace plan in 2025 decided to head into 2026 with no coverage at all. Another 28% re-enrolled but with a different—presumably lesser—plan.
Healthcare price transparency startup earns $40M in seed funding, bringing the total to $95M
San Diego-based Turquoise Health was founded in 2020 and has evolved to be a healthcare pricing engine used to develop health plan networks and contract rates. The company said its end goal is complete price transparency to make it easier for all organizations and patients to navigate the U.S. healthcare system.
EP advocacy group details 6 key policy issues
The Heart Rhythm Society's advocacy arm is monitoring such issues as prior authorization, outpatient payment policies and cancelled research funding.
Consolidation, competition, consumer costs: Healthcare econ experts break it all down, make it make sense
Market forces like competition cannot stem the urge to merge among and between payers and providers, so neither will they staunch the price hikes in premiums.
MGMA outlines path and pitfalls in CMS 2030 value-based care push
The Center for Medicare and Medicaid Innovation (CMMI) has tested nearly 40 APMs, of which only two turned out to be successful, which does not bode well for meeting a 2030 deadline to transition to value-based payments.

New York cardiologist charged for alleged involvement in COVID-related fraud scheme

He was charged with three counts of healthcare fraud for an alleged scheme involving office visits that never occurred.

93% of Americans say their healthcare is not worth what it costs

As healthcare prices in the U.S. have risen over the past several years, more Americans are struggling to pay for care.

The American Society of Nuclear Cardiology (ASNC) is asking Congress to repeal the appropriate use software provision mandate, which physicians say is an obstacle to efficient care.

VIDEO: Imaging societies ask Congress to repeal appropriate use decision support mandate

Randall Thompson, MD, immediate past president of the American Society of Nuclear Cardiology (ASNC), explains the current ASNC lobbying efforts.

Cardiologist’s legal fight against fraud conviction may be heard by Supreme Court

Kentucky cardiologist Richard Paulus was first found guilty back in October 2016, but he was granted a new trial in 2021.

Trinity Health acquires MercyOne Health System

Trinity Health will become the sole parent company of MercyOne Health System after an agreement with CommonSpirit Health.

PHOTO GALLERY: Duly Health adopts outpatient cardiac CT as a standard of care

Duly Health and Care in suburban Chicago recently opened a new outpatient cardiac evaluation center equipped with a dedicated cardiac CT system, which will likely be a new business model that will be seen more in the coming years.

Leslee Shaw, PhD, and former presidents of both SCCT and ASNC discusses the role of CT and FFR-CT in the 2021 chest pain guidelines.

VIDEO: Cardiac CT now recommended as a front-line chest pain assessment tool

Leslee Shaw, PhD, director of the Blavatnik Family Women’s Health Research Institute at Mount Sinai Hospital in New York and former president of the Society of Cardiovascular Computed Tomography (SCCT) and the American Society of Nuclear Cardiology (ASNC), explains the role of cardiac computed tomography (CT) in the recent 2021 chest pain guidelines.

7 reasons clinicians are leaving jobs in the era of the great resignation

Two years into the pandemic, healthcare organizations in the U.S. are dealing with major staffing shortages. Here are some of the top reasons why clinicians leave their jobs.

Economics

Former ACA Marketplace enrollee: ‘This is ridiculous—$1,200 and an $8,000 deductible for a healthy person. Really?’

Healthcare price transparency startup earns $40M in seed funding, bringing the total to $95M

EP advocacy group details 6 key policy issues

Consolidation, competition, consumer costs: Healthcare econ experts break it all down, make it make sense

MGMA outlines path and pitfalls in CMS 2030 value-based care push