Management

This page includes content on healthcare management, including health system, hospital, department and clinic business management and administration. Areas of focus are on cardiology and radiology department business administration. Subcategories covered in this section include healthcare economics, reimbursement, leadership, mergers and acquisitions, policy and regulations, practice management, quality, staffing, and supply chain.

Report: DOJ investigating business practices of UnitedHealth’s Optum Rx
Bloomberg said the pharmacy benefit manager is being probed as part of a larger look into the “prescription management services” of UnitedHealth. According to sources, this may be related to an ongoing investigation into alleged instances of Medicare Advantage upcoding.
New $6B Eversana looks to bypass PBMs to lower drug prices
A merger between Eversana and Waltz Health will create a new entity that CEO Mark Thierer says will upend the “existing oligopoly that I helped build.”
Dispute between Johns Hopkins and UnitedHealthcare pushes patients out-of-network
The two said they’ve been negotiating terms for eight months. Sticking points include denied claims and coverage disputes, with both the insurer and health system pointing fingers.
New York cardiologist headed to prison—DOJ says he paid for referrals, performed unneeded procedures
"Today’s sentence sends a deterrent message to doctors and the healthcare industry," according to a DOJ statement. "If you abuse patient trust for profit, you will face justice."
Hospital system no longer accepting radiology patients with out-of-network health plans
Summa Health said the change will take effect Sept. 1, with the two-hospital network ceasing scheduling of appointments for this consumer segment.

Bard Peripheral Vascular Rotarex Atherectomy System recall

Safety update: FDA announces Class I recall due to atherectomy devices breaking during use

The FDA shared a warning about these safety issues in February, but said it was still reviewing the evidence. The agency is now saying the devices “may cause serious injury or death” if used without following the updated instructions for use.

Radiology groups urge prominent medical journal to retract ‘flawed’ research on interventional procedures

Over 30 medical societies recently wrote a response to the BMJ, criticizing a meta-analysis on IR treatments for chronic spine pain.

Establishing a standalone interventional radiology department: Finances and other key factors

The University of Miami believes it has established the first completely independent IR department in the country, which is thriving years after creation.

Radiology artificial intelligence firm Brainomix raises $18M, expands in US

The company specializes in software focused on stroke and lung fibrosis, with its solutions deployed at over 300 hospitals and impacting 1.5 million patients.

Strategic Radiology grows to over 2,000 physicians, adding state’s largest imaging group

Founded over 60 years ago, New Jersey-based University Radiology, employs 180-plus board-certified rads handling 2.1 million exams annually.

Healthcare AI newswatch: California AI hoping, the jagged AI frontier, agents bumping off bots, more

California has moved assertively to legislate guardrails around AI in healthcare. Will other states follow?

Next-generation AI agents are headed for healthcare. What will they do once they get here?

Healthcare AI agents can be classified as one of four models. In increasing order of autonomy and clinical integration, these are: foundation, assistant, partner and pioneer.

FDA issues two serious patient safety alerts

The notices are unrelated, but both require that clinicians adhere to a set of updated use instructions. One patient died as a result of injury.

Management

Report: DOJ investigating business practices of UnitedHealth’s Optum Rx

New $6B Eversana looks to bypass PBMs to lower drug prices

Dispute between Johns Hopkins and UnitedHealthcare pushes patients out-of-network

New York cardiologist headed to prison—DOJ says he paid for referrals, performed unneeded procedures

Hospital system no longer accepting radiology patients with out-of-network health plans