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Payers gaming system with ghost rates, rad says | Ontario pulls out of RSNA 2025 | Rayus expands IR services | Tech shortages

News You Need to Know Today
Payers gaming system with ghost rates, rad says | Ontario pulls out of RSNA 2025 | Rayus expands IR services | Tech shortages
Monday, July 28, 2025
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Today's News and Trends

ACR says insurance companies gaming the No Surprises Act with ghost rates

Alan Matsumoto, MD, chair of the American College of Radiology, discusses rad support for a Texas Medical Association lawsuit against the federal government. 
 

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Alan Matsumoto, MD, FSIR, FACR, FAHA, chairman of the American College of Radiology Board, professor of radiology and chair of the Department of Radiology, University of Virginia, Charlottesville, explains ACR support for the Texas Medical Association lawsuit three (TMA3) against the Department of Health and Human Service, because insurance companies are using the provisions of the law to to underpay providers for patient care.
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ACR says insurance companies gaming the No Surprises Act with ghost rates

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Alan Matsumoto, MD, FSIR, FACR, FAHA, chairman of the American College of Radiology Board, professor of radiology and chair of the Department of Radiology, University of Virginia, Charlottesville, explains ACR support for the Texas Medical Association lawsuit three (TMA3) against the Department of Health and Human Service, because insurance companies are using the provisions of the law to to underpay providers for patient care.
Alan Matsumoto, MD, chair of the American College of Radiology, discusses rad support for a Texas Medical Association lawsuit against the federal government.  
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Ontario government reportedly pulling out of RSNA 2025

The province's Ministry of Economic Development, Job Creation and Trade had previously exhibited at the world's largest medical imaging conference. 

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Ontario government reportedly pulling out of RSNA 2025

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The province's Ministry of Economic Development, Job Creation and Trade had previously exhibited at the world's largest medical imaging conference. 
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Rayus Radiology opens new outpatient vascular center amid growing demand for IR services

The private equity-backed company is expanding in the Portland, Maine, market after opening four other dedicated vascular clinics in Texas and Minnesota. 

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Rayus Radiology opens new outpatient vascular center amid growing demand for IR services

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rayus.png
The private equity-backed company is expanding in the Portland, Maine, market after opening four other dedicated vascular clinics in Texas and Minnesota. 
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FDA approves updated standard related to breast density reporting

The American College of Radiology requested the update in June, with the changes now taking effect this month. 

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carestream_3.jpg
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FDA approves updated standard related to breast density reporting

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carestream_3.jpg
The American College of Radiology requested the update in June, with the changes now taking effect this month. 
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Multiple imaging modalities face rising shortage of qualified technologists

New survey results from the American Society of Radiologic Technologists reveal that the vacancy rates in some modalities are nearing all-time highs.

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Jobs hiring talent people human resources
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Multiple imaging modalities face rising shortage of qualified technologists

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Jobs hiring talent people human resources
New survey results from the American Society of Radiologic Technologists reveal that the vacancy rates in some modalities are nearing all-time highs.
READ MORE >

In Case You Missed It

Society of Interventional Radiology opposes value-based care proposal

Under the proposal, Medicare would add an interventional radiology payment pathway, creating a new reporting framework for IRs as part of MIPS.

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Society of Interventional Radiology opposes value-based care proposal

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Under the proposal, Medicare would add an interventional radiology payment pathway, creating a new reporting framework for IRs as part of MIPS.
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One of East Coast’s only black-owned radiology practices files for bankruptcy protection

Capitol Radiology LLC submitted the voluntary petition in the U.S. Bankruptcy Court for the District of Maryland, seeking to wipe out $157,000 in debt. 

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Bankruptcy
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One of East Coast’s only black-owned radiology practices files for bankruptcy protection

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Bankruptcy
Capitol Radiology LLC submitted the voluntary petition in the U.S. Bankruptcy Court for the District of Maryland, seeking to wipe out $157,000 in debt. 
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SEC subpoenas imaging agent developer Telix Pharmaceuticals

The publicly traded, Australia-based radiology vendor revealed news of the investigation in its second quarter earnings report. 

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SEC subpoenas imaging agent developer Telix Pharmaceuticals

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The publicly traded, Australia-based radiology vendor revealed news of the investigation in its second quarter earnings report. 
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In Other News

Uninsured stroke patient sues Maine Med over alleged denial of emergency care

Jamaica resident Edwin George Duffus, 65, claims the hospital discharged him after learning he didn’t have medical coverage. A federal court ruled his lawsuit can move forward.

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Denied
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Uninsured stroke patient sues Maine Med over alleged denial of emergency care

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Denied
Jamaica resident Edwin George Duffus, 65, claims the hospital discharged him after learning he didn’t have medical coverage. A federal court ruled his lawsuit can move forward.
READ MORE >

House bill aims to bring parity to Medicare reimbursement

The Prompt and Fair Pay Act would require Medicare Advantage insurers to reimburse providers at traditional Medicare rates, effectively closing the payment gap between public and private plans.

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prior authorization claim deny denial insurance insurer payer Medicare Advantage
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House bill aims to bring parity to Medicare reimbursement

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prior authorization claim deny denial insurance insurer payer Medicare Advantage
The Prompt and Fair Pay Act would require Medicare Advantage insurers to reimburse providers at traditional Medicare rates, effectively closing the payment gap between public and private plans.
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