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.

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American College of Radiology, RBMA express growing alarm over pause in surprise-bill processing

Medical societies representing rads, emergency docs and anesthesiologists are pressing for a "full and immediate" relaunch of independent dispute resolution. 

Anthem

Imaging centers, hospital system reach agreement with Anthem BCBS in $93M dispute

Bon Secours Mercy Health filed suit Aug. 28, alleging Virginia's largest commercial insurer had denied or downgraded an enormous volume of claims.

The Nanox.ARC imaging system

SEC reaches $1M settlement with imaging vendor Nanox over misstated cost of flagship device

The company claimed to investors that it could build the machine for as little as $8,000, ignoring higher alternative estimates provided by internal execs.

money gavel court lawsuit legal judge judgement

Jury awards woman $7.6M in breast cancer diagnosis-related malpractice case

The case dates to 2015, when Kentuckian Kimberly Johnson received an erroneous letter from the local hospital stating that she was cancer-free.

Cigna

Cigna will pay $172M for allegedly filing false claims that lacked necessary imaging to back diagnosis codes

NPs purportedly would diagnose serious, complex conditions without the necessary medical imaging to reach such conclusions, the Department of Justice said Sept. 30. 

Medicare money payment

CMS agrees to broaden MRI pay policy in response to radiology societies’ advocacy campaign

“After back and forth correspondence, and multiple phone calls, we are thrilled to announce that this campaign was successful,” one of the trade groups said. 

Jefferson Health

Private equity-backed Solis Mammography, large hospital system ink ‘groundbreaking’ partnership

The Addison, Texas-based imaging group is teaming with Jefferson Health to open more than a dozen new centers in the Philadelphia area. 

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Radiology Partners scores key victory in court battle with UnitedHealthcare

A California federal judge has granted RP's request to compel arbitration in its ongoing dispute with UHC over alleged underpayment. 

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.