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.

mergers and acquisitions M&A puzzle

Investment firm acquiring majority stake in ‘leading’ private radiology practice for $254M

Pacific Radiology is currently 100% owned by physician shareholders and operates 46 imaging centers, employing 90 radiologists across the country.

‘Partial victory’: Imaging advocates say Humana relenting on some PET/CT payment restrictions

The health insurer reversed its coverage denial for imaging of gastric and esophageal oncologic indications, while other restrictions remain in place. 

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Investor-backed home care startup DispatchHealth expands into radiology with recent acquisition

Professional Portable X-Ray operates in seven markets, with the Denver-based acquirer initially targeting the Phoenix area for its imaging offering. 

Humana

Humana agrees to take second look at panned payment change labeling PET/CT as ‘investigational’

The American Society of Nuclear Cardiology recently met with the Louisville, Kentucky, insurer, which shared an openness to reviewing a recent coverage determination. 

Amazon

The spectacular failure of Amazon’s Haven Healthcare and 4 key takeaways for radiology

Indiana University imaging experts see an opportunity for the specialty to learn from the tech offshoot's demise. 

money maze payment reimbursement

Health policy experts offer 3 fixes for Medicare’s ‘dysfunctional’ advanced-imaging payment system

CMS should coordinate rate-setting between OPPS and the physician fee schedule, and consider implementing prior authorization, Brookings experts argued. 

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Radiologists demand greater transparency from CMS in Merit-Based Incentive Payment System

Docs are “particularly concerned” that the dearth of data could be concealing issues with cost measures or benchmarks, 45 physician groups including the ACR wrote recently.

private equity corporatization business consolidation

It’s official: Radiology practice SimonMed inks partnership with New York private equity firm

The news comes days after an investment industry publication unearthed the reported $600M deal with American Securities, citing anonymous sources.

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.