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.

Boston Scientific’s coronary DCB gains new Medicare reimbursement
The first coronary DCB to gain FDA approval just received an additional reimbursement that could improve patient access.
Medical imaging a heavy contributor to Medicare waste, study finds
The payment program spent $484 million on 15 different low-value imaging services, a figure that balloons to $584 million when factoring for out-of-pocket costs.
Imaging AI vendor earns nationwide UnitedHealthcare coverage, sets $1.3B value ahead of IPO
California-based Heartflow, which offers an AI software that assesses coronary CT angiography scans, hopes to raise over $200 million through the stock offering.
Private practice takes over Radiology Partners hospital contract
Effective immediately, Midstate Radiology Associates will deliver imaging reads at Windham Hospital, in Willimantic, Conn.
New number-crunching shows Medicare could save itself more than $2.5B a year by just saying ‘No’ to 5 low-value services
No single CMS strategy has proven an inarguable success at delivering significant cost savings while optimizing patient outcomes and minimizing clinical risks. Two researchers think they’ve found a way.

Reimbursement for contrast-enhanced mammography is on the rise

New global survey data suggest organizations have not let the lack of reimbursement affect their decision to implement CEM.

Alan Matsumoto, MD, chairman of Board for the American College of Radiology, explains Medicare cuts over the past 20 years lowered physician payments 33% and they can no longer cover expenses. The "Big Beautiful Bill" helps addressing this, but fails to make up decades of cuts to physician pay.

ACR says Medicare physician payments are unsustainable, urges congressional action

Alan Matsumoto, MD, chair of the American College of Radiology board, discusses how cuts over the past 20 years have lowered physician payments 33%.

artificial intelligence AI money brain dollar

American College of Radiology assembles experts to investigate economics of AI

Their mission is to address the lack of Medicare, Medicaid and private insurance reimbursement for AI tools used in medical imaging.

Radiology Partners launches new technology services division

The country’s largest imaging group—with 4,000 radiologists working across all 50 states—is rolling out an offshoot called Mosaic Clinical Technologies.

Suman Tandon, MD, FASNC, a cardiac imager at St. Francis Hospital and Heart Center, in Rosyln, New York, and an American Society of Nuclear Cardiology (ASNC) representative to the American Medical Association (AMA) House of Delegates (HOD), explains ASNC’s call on Congress for to reduce prior authorization, appropriate use mandates and to make Medicare payment reforms.

ASNC lobbies Congress to curb prior authorization, oppose AUC mandates and embrace payment reform

Suman Tandon, MD, an American Society of Nuclear Cardiology board member, explains the group's call on Congress to update a number of healthcare policies.

CMS proposal includes cardiologist pay bump—cuts to high-value services still a concern

The 2026 MPFS proposed rule includes higher conversion factors across the board. However, some cardiology groups remain concerned about a series of reimbursement reductions for high-value cardiology services.

2026 Medicare Physician Fee Schedule proposes 3.6% pay bump, permanent remote imaging supervision

Physicians expressed concern Monday about newly proposed "efficiency adjustments" in the federal payment program, which could drag down reimbursement for many services.

Radiology benefits manager updates coverage guidelines to include imaging AI software

EviCore, which advises leading health insurers on coverage decisions, is now recommending reimbursement for AI-backed analysis of CCTA images, provided by 3 vendors.

Economics

Boston Scientific’s coronary DCB gains new Medicare reimbursement

Medical imaging a heavy contributor to Medicare waste, study finds

Imaging AI vendor earns nationwide UnitedHealthcare coverage, sets $1.3B value ahead of IPO

Private practice takes over Radiology Partners hospital contract

New number-crunching shows Medicare could save itself more than $2.5B a year by just saying ‘No’ to 5 low-value services