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.

closing closure going out of business shutter

Consolidation may be driving radiologists away from practicing as generalists

Radiologists who experienced a practice closure are more likely to operate as subspecialists afterward, according to new Neiman research.

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.

potential new tariffs on medical devices, imaging equipment, PPE and more

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.

CMS recalls furloughed workers ahead of ACA open enrollment

Despite the ongoing government shutdown, some 3,000 Centers for Medicare & Medicaid Services staff will be returning to the office just in time for Americans to begin looking for health coverage on the Affordable Care Act marketplace. The agency said the employees will be paid for the days they work.

Anthem threatens hospitals who use out-of-network radiology providers

“When you thought insurers couldn’t get more evil, they come up with something even worse than you anticipated,” one physician said.

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