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News You Need to Know Today
Economics | September 2023: Rads lose $2.8B | Specialty nears tipping point | Major bill
Tuesday, September 19, 2023
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Editor's Choice: Economics

Inflation-adjusted Medicare pay in radiology has decreased by $2.8B since 2005

This occurred during a period when radiologists took on an increasing workload, with relative value units leaping 13.1% during the 16-year study period. 

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Medicare money payment reimbursement dollar decline. More than 100 U.S. medical societies are throwing their support behind a new proposal that could reform out-of-date Medicare policies and help limit future payment cuts. 
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Inflation-adjusted Medicare pay in radiology has decreased by $2.8B since 2005

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Medicare money payment reimbursement dollar decline. More than 100 U.S. medical societies are throwing their support behind a new proposal that could reform out-of-date Medicare policies and help limit future payment cuts. 
This occurred during a period when radiologists took on an increasing workload, with relative value units leaping 13.1% during the 16-year study period. 
READ MORE >

Radiology Business Management Association warns CMS that specialty is reaching a ‘tipping point’

“After 16 straight years of cuts to radiology this is an unsustainable environment in medicine,” RBMA Executive Director Bob Still wrote to the agency.

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Radiology Business Management Association warns CMS that specialty is reaching a ‘tipping point’

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business man storm rain crisis
“After 16 straight years of cuts to radiology this is an unsustainable environment in medicine,” RBMA Executive Director Bob Still wrote to the agency.
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Akumin’s creditors reportedly lawyer up; radiology provider may face delisting from Nasdaq

Some noteholders to Akumin have organized with debt restructuring law firm Akin Gump Strauss Hauer & Feld, Bloomberg Law reported Sept. 7

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Akumin’s creditors reportedly lawyer up; radiology provider may face delisting from Nasdaq

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Some noteholders to Akumin have organized with debt restructuring law firm Akin Gump Strauss Hauer & Feld, Bloomberg Law reported Sept. 7
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House leaders reveal ‘major’ healthcare bill that includes radiologist-opposed Imaging Services Price Transparency Act

The rule would establish a list of “at least 50” shoppable radiology exams for which providers must publicly disclose pricing on their websites.

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House leaders reveal ‘major’ healthcare bill that includes radiologist-opposed Imaging Services Price Transparency Act

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The rule would establish a list of “at least 50” shoppable radiology exams for which providers must publicly disclose pricing on their websites.
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Independent practice coalition Strategic Radiology adds 80-physician group, deepening presence in 1 state

Summit Radiology is the product of two organizations—Allen County Radiology Associates and CFB Radiology, with roots dating to the 1960s—merging in 1995. 
 

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Independent practice coalition Strategic Radiology adds 80-physician group, deepening presence in 1 state

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mergers and acquisitions M&A puzzle
Summit Radiology is the product of two organizations—Allen County Radiology Associates and CFB Radiology, with roots dating to the 1960s—merging in 1995.   
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Featured Articles

Imaging centers, Bon Secours Mercy Health sue insurer Anthem BCBS seeking $93M

The payer has allegedly engaged in “slow pay and no pay tactics," resulting in an "enormous" volume of claims being denied or downgraded.

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Anthem
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Imaging centers, Bon Secours Mercy Health sue insurer Anthem BCBS seeking $93M

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Anthem
The payer has allegedly engaged in “slow pay and no pay tactics," resulting in an "enormous" volume of claims being denied or downgraded.
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Solis Mammography acquiring network of breast imaging centers

Supported by Chicago-based Madison Dearborn Capital Partners, the company has grown rapidly in recent years to now include 100-plus locations.

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Solis Mammography acquiring network of breast imaging centers

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Supported by Chicago-based Madison Dearborn Capital Partners, the company has grown rapidly in recent years to now include 100-plus locations.
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Private equity-backed LucidHealth touts new 2-year partnership track for its growing teleradiology group

Since 2020, the “virtual practice” has grown to include more than 75 physicians operating across 47 states, with leaders seeking to hire more.

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Private equity-backed LucidHealth touts new 2-year partnership track for its growing teleradiology group

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Since 2020, the “virtual practice” has grown to include more than 75 physicians operating across 47 states, with leaders seeking to hire more.
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Affiliate of private equity-backed US Radiology Specialists reaches in-network agreement with UnitedHealthcare

Tucson, Arizona-based Radiology Ltd. was set to see its contract with the nation's largest commercial health insurer expire on Aug. 15. 

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Affiliate of private equity-backed US Radiology Specialists reaches in-network agreement with UnitedHealthcare

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Tucson, Arizona-based Radiology Ltd. was set to see its contract with the nation's largest commercial health insurer expire on Aug. 15. 
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Medicare pay for most interventional radiology procedures has declined in recent years

Researchers believe this information underlines the “critical need” for advocacy at a national level among IR professionals. 

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Medicare pay for most interventional radiology procedures has declined in recent years

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financial graph downturn drop dip
Researchers believe this information underlines the “critical need” for advocacy at a national level among IR professionals. 
READ MORE >

Same hospital, same insurer, but imaging prices twice as high for commercial vs. Medicare Advantage plans

When stated in dollar terms, the median price for imaging services was $490 across commercial plans compared to $191 in MA, experts wrote in Health Affairs. 

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scale money prices shopping transparency reimbursement dollar coins
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Same hospital, same insurer, but imaging prices twice as high for commercial vs. Medicare Advantage plans

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scale money prices shopping transparency reimbursement dollar coins
When stated in dollar terms, the median price for imaging services was $490 across commercial plans compared to $191 in MA, experts wrote in Health Affairs. 
READ MORE >

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