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News You Need to Know Today
Best of the Week: Medicare pay cut | Rad Partners served | Private equity's M&A appetite | Private practice dwindles
Friday, July 14, 2023
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This Week’s News

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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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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Private equity’s ‘voracious’ acquisition of radiology practices is increasing imaging prices, study asserts

Such ownership changes were associated with an 8.2% price increase in radiology and statistically significant upticks across 8 of the 10 specialties examined. 

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Private equity’s ‘voracious’ acquisition of radiology practices is increasing imaging prices, study asserts

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Such ownership changes were associated with an 8.2% price increase in radiology and statistically significant upticks across 8 of the 10 specialties examined. 
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Number of radiologists in private practice falls below 50% for 1st time in a decade

Payment cuts in Medicare, rising costs and administrative burdens all are pushing providers to seek sales, the AMA said. 

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radiology department
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Number of radiologists in private practice falls below 50% for 1st time in a decade

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radiology department
Payment cuts in Medicare, rising costs and administrative burdens all are pushing providers to seek sales, the AMA said. 
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Big Pharma’s industry payments to diagnostic radiologists have risen sharply since 2019

Merk & Co. paid the largest amount to the specialty between 2017-2021, followed by Hologic and Pfizer, researchers wrote recently.  

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Researchers found millions of heart failure patients who qualify for standard, guideline directed medical therapies, but did not receive it due to poor health literacy, limited access to care and medication costs.
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Big Pharma’s industry payments to diagnostic radiologists have risen sharply since 2019

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Researchers found millions of heart failure patients who qualify for standard, guideline directed medical therapies, but did not receive it due to poor health literacy, limited access to care and medication costs.
Merk & Co. paid the largest amount to the specialty between 2017-2021, followed by Hologic and Pfizer, researchers wrote recently.  
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Featured Articles

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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Radiologists capture growing market share for key interventional procedure while cardiologists lose ground

Among Medicare beneficiaries, there was a marked drop in the delivery of percutaneous renal artery angioplasty, used to treat a narrowed artery, between 2010 and 2018.

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Financial data showing growing revenue
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Radiologists capture growing market share for key interventional procedure while cardiologists lose ground

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Financial data showing growing revenue
Among Medicare beneficiaries, there was a marked drop in the delivery of percutaneous renal artery angioplasty, used to treat a narrowed artery, between 2010 and 2018.
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Radiology societies express ‘significant concern’ around proposed BlueCross BlueShield policy

BCBS last month suggested curtailing coverage for peripheral nerve stimulation devices, used to relieve pain, which drew ire from thousands of physicians. 

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Radiology societies express ‘significant concern’ around proposed BlueCross BlueShield policy

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BCBS last month suggested curtailing coverage for peripheral nerve stimulation devices, used to relieve pain, which drew ire from thousands of physicians. 
READ MORE >

How private practice and academic interventional radiology groups are using APPs differently

Both are making ample use of advanced-practice providers to handle procedures and other billable work, with a few notable differences. 

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peripherally inserted central catheters (PICC)
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How private practice and academic interventional radiology groups are using APPs differently

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peripherally inserted central catheters (PICC)
Both are making ample use of advanced-practice providers to handle procedures and other billable work, with a few notable differences. 
READ MORE >

Physician assistants order imaging at rates higher than primary care doctors

Measures to optimize the value of radiology services will be necessary as the strained PCP workforce is increasingly augmented by other providers, experts wrote in JACR. 

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radiology reporting EHR health record CDS AUC
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Physician assistants order imaging at rates higher than primary care doctors

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radiology reporting EHR health record CDS AUC
Measures to optimize the value of radiology services will be necessary as the strained PCP workforce is increasingly augmented by other providers, experts wrote in JACR. 
READ MORE >

Members of Congress introduce bill requiring all Medicaid programs to cover lung cancer screening

H.R. 4286 also would expand coverage for tobacco cessation in the federal payment program, including counseling and medication-assisted treatment. 

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Lung cancer cigarettes
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Members of Congress introduce bill requiring all Medicaid programs to cover lung cancer screening

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Lung cancer cigarettes
H.R. 4286 also would expand coverage for tobacco cessation in the federal payment program, including counseling and medication-assisted treatment. 
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