Economics

This channel highlights factors that impact hospital and healthcare economics and revenue. This includes news on healthcare policies, reimbursement, marketing, business plans, mergers and acquisitions, supply chain, salaries, staffing, and the implementation of a cost-effective environment for patients and providers.

UnitedHealthcare UHC UnitedHealth

American College of Radiology urges UnitedHealthcare to revise ‘onerous’ new prior authorization process

The nation's largest commercial insurer began requiring physicians to jump through additional hoops last month before obtaining payment for certain outpatient services. 

Department of Justice DOJ

‘Under siege by consolidation’: Antitrust trade group comes out against UnitedHealth-Change merger

The American Antitrust Institute joins numerous others lining up to oppose the proposed $13 billion transaction, first announced in January. 

Thumbnail

American College of Radiology highlights imaging CPT code changes for 2022 and sooner

Two code additions for next year cover a new procedure—destruction of the intraosseous basivertebral nerve—that provides relief for certain back pain. 

mergers and acquisitions M&A puzzle

Company News: Rad Partners launches new clinical innovation team; Akumin closes $39M deal, plus more

In other happenings, Asheville Radiology Associates recently rebranded; PwC is reportedly marketing a practice for sale, and Monticello Health Services acquired a center in Texas.

The high price of consolidation: Spike in imaging volumes pushing Medicare costs up $40M

The findings shared Monday in Health Affairs add to mounting evidence linking vertical integration to higher spending, a trend that's likely to increase in the coming years.

Anthem

‘Profoundly negative impact’: ACR asks insurer Anthem to reconsider imaging payment restriction

The American College of Radiology and Society for Pediatric Radiology are asking the Indianapolis-based payer to open hospital-based imaging to a greater patient population. 

Total knee AI/AR cleared for sales in the US

The FDA has granted 510(k) clearance to a French startup for surgery software that combines AI with augmented reality and computer vision.

COVID-19 congress coronavirus Washington

Radiologists ask Congress for $3B to offset looming cuts in Medicare Physician Fee Schedule

In a letter to lawmakers, 63 medical groups said the pandemic continues to challenge physician practices. 

Around the web

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

The all-in-one Omni Legend PET/CT scanner is now being manufactured in a new production facility in Waukesha, Wisconsin.