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.

Medicare money payment physician

CMS proposes issuing separate payment for diagnostic radiopharmaceuticals in 2025

For years, the agency has packaged payment for nuclear imaging agents with the procedure, but this has created a barrier for those who require pricier new drugs. 

UnitedHealth Group - 2

At an impasse, 70-physician radiology practice terminates contract with UnitedHealthcare

Arizona-based Southwest Diagnostic Imaging said the decision is effective immediately, with its 19 locations now considered out-of-network for those using UHC health plans. 

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Insurers accused of $50B fraud connected to Medicare Advantage plans

According to a report, from 2019 and 2021, Medicare Advantage plans put taxpayers on the hook for dubious care services.

doctor's open hand waiting for a payment

CMS proposes 2.8% pay cut for providers in 2025

The average payment rate to physicians is suggested to be reduced by 2.93% in 2025 under the proposed fee schedule change, the agency noted. 

Allegheny Health Network Jefferson Hospital

Hospital invests nearly $5M to quadruple its monthly breast cancer screening capacity

Allegheny Health Network in Pennsylvania has seen an uptick in women seeking services from the AHN Jefferson Breast Center, necessitating the capital project. 

Medicare money payment reimbursement dollar decline george washington

Doctors sound alarm over ‘dangerous’ payment cuts in proposed Medicare Physician Fee Schedule

According to the new proposal, the 2025 conversion factor would be $32.36, down approximately 2.8% from 2024. SCAI, MGMA and other groups have already stepped forward with warnings that these cuts could do significant damage to patient care. 

Medicare Money dollar payment reimbursement

Medicare physician fee schedule cuts conversion factor in 2025 with ‘dangerous implications’ for patient care

UPDATED: The Radiology Business Management Association slammed the proposal Wednesday, contending it will have a "direct and detrimental impact on patient access."

Adona Medical adjustable interatrial shunt

Heart failure startup raises $33.5M for adjustable interatrial shunt

Adona Medical’s adjustable interatrial shunt can be made larger or smaller in size after implantation through the use of a custom-designed induction catheter.