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 and 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.

Former CEO indicted for fake medical device implanted in patients

Laura Perryman, the former chief of Florida-based Stimwave, allegedly created a non-functioning “dummy device” that was used to treat patients suffering from chronic pain.

American College of Radiology, emergency docs release ‘landmark’ guidance on incidental findings

Published in JACR, the new white paper outlines four areas of consensus between the two specialties.

Lawmakers reintroduce radiologist-supported bill to soften the blow of residency debt

The REDI Act would allow physicians-in-training to qualify for interest-free deferment of their student loans while serving in a medical internship or residency program.

Radiology societies ‘extremely disheartened’ over elimination of Medicare coverage for key procedure

Radiologists and pain management specialists are urging CMS to reconsider the decision and maintain access to this alternative to opioids or surgery.

FDA announces recall of two more eye drop brands

Use of the contaminated eye drops could result in eye infections that could lead to blindness, the FDA said.

Oversight Committee launches investigation into pharmacy benefit managers

CVS Caremark, Express Scripts and OptumRx have been asked to provide documents, communications and information related to their practices.

FDA seeking upwards of $7B for 2024

The Food and Drug Administration has put in for a $7.2 billion chunk of the $6.9 trillion federal budget for fiscal year 2024 that President Joe Biden proposed March 9.

Working off-hours maxes odds of burnout in private-practice radiology

Meanwhile, about 27% of those surveyed said they feel professionally fulfilled, with exercise and healthy eating having an influence.

Management

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

New $6B Eversana looks to bypass PBMs and 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