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News You Need to Know Today
Fighting flawed Medicare methodology | Anxiety high among outpatients | Policy will boost imaging pay
Monday, July 17, 2023
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Today's News and Trends

AMA working with radiology groups to fix flawed approach that’s driving Medicare payment decisions

The Medicare Physician Fee Schedule utilizes 2006 cost information to develop practice expense relative values and resulting reimbursements. 

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Money dollar investments
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AMA working with radiology groups to fix flawed approach that’s driving Medicare payment decisions

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Money dollar investments
The Medicare Physician Fee Schedule utilizes 2006 cost information to develop practice expense relative values and resulting reimbursements. 
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Half of patients experience raised levels of anxiety before or after an imaging exam

Researchers believe this is first study to examine the trajectory and predictors of anxiety among outpatients undergoing a range of different exam types. 

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Half of patients experience raised levels of anxiety before or after an imaging exam

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Researchers believe this is first study to examine the trajectory and predictors of anxiety among outpatients undergoing a range of different exam types. 
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Momentum builds as Missouri becomes the 18th state to pass law bolstering breast imaging coverage

It’s also the fifth local legislature to do so in 2023, following in the footsteps of Tennessee, Washington, Maryland and New Mexico. 

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breast radiologist breast cancer mammography
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Momentum builds as Missouri becomes the 18th state to pass law bolstering breast imaging coverage

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breast radiologist breast cancer mammography
It’s also the fifth local legislature to do so in 2023, following in the footsteps of Tennessee, Washington, Maryland and New Mexico. 
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In Case You Missed It

Radiology Partners officially served with UnitedHealthcare lawsuit 3 months after initial filing

The window to serve RP with the complaint was slated to expire July 13, with a judge prepared to dismiss the case if the action was not completed

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Radiology Partners officially served with UnitedHealthcare lawsuit 3 months after initial filing

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The window to serve RP with the complaint was slated to expire July 13, with a judge prepared to dismiss the case if the action was not completed
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CMS seeks feedback on issuing separate payment for diagnostic radiopharmaceuticals

The agency issued its solicitation as part of the recently released 2024 Hospital Outpatient Prospective Payment System proposed rule. 

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Medicare money payment
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CMS seeks feedback on issuing separate payment for diagnostic radiopharmaceuticals

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Medicare money payment
The agency issued its solicitation as part of the recently released 2024 Hospital Outpatient Prospective Payment System proposed rule. 
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Vienna-based ultrasound startup eyes US expansion after closing $5.5M fundraising round

Piur Imaging claims that its “Infinity” offering is the only vendor-neutral, tomographic 3D ultrasound solution on the market. 

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Piur Imaging Infinity
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Vienna-based ultrasound startup eyes US expansion after closing $5.5M fundraising round

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Piur Imaging Infinity
Piur Imaging claims that its “Infinity” offering is the only vendor-neutral, tomographic 3D ultrasound solution on the market. 
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Medicare fee schedule proposes pay cut for diagnostic and interventional radiology; ditching AUC program also on the table

Imaging advocates blasted the proposal shortly after its release, saying it's "unconscionable that radiology is again on the chopping block."   

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physician money payments dollars
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Medicare fee schedule proposes pay cut for diagnostic and interventional radiology; ditching AUC program also on the table

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physician money payments dollars
Imaging advocates blasted the proposal shortly after its release, saying it's "unconscionable that radiology is again on the chopping block."   
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In Other News

GoodRX and CVS Caremark partner to offer discounted prescriptions

As part of the program, eligible Caremark members who carry commercial insurance will have GoodRX’s discounted pricing applied automatically to their prescription purchases.

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durbin-ama-opioid. The American College of Cardiology (ACC) and American Heart Association (AHA) have published new guidelines focused on the diagnosis, treatment and management of patients with chronic coronary disease (CCD).
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GoodRX and CVS Caremark partner to offer discounted prescriptions

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durbin-ama-opioid. The American College of Cardiology (ACC) and American Heart Association (AHA) have published new guidelines focused on the diagnosis, treatment and management of patients with chronic coronary disease (CCD).
As part of the program, eligible Caremark members who carry commercial insurance will have GoodRX’s discounted pricing applied automatically to their prescription purchases.
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Johnson & Johnson files suit against doctors who linked the company's talc products to cancer

The multinational corporation alleges that the physicians have "made careers and small fortunes" by defaming J&J's products.

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A gavel and a stethoscope
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Johnson & Johnson files suit against doctors who linked the company's talc products to cancer

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A gavel and a stethoscope
The multinational corporation alleges that the physicians have "made careers and small fortunes" by defaming J&J's products.
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Eli Lilly to acquire private equity-backed drugmaker for up to $1.9B

Versanis, founded in 2021 by a venture capital firm, is primarily known as the company behind the obesity drug bimagrumab.

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Business Handshake
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Eli Lilly to acquire private equity-backed drugmaker for up to $1.9B

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Business Handshake
Versanis, founded in 2021 by a venture capital firm, is primarily known as the company behind the obesity drug bimagrumab.
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