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.

Medicare money payment

American College of Radiology voices concerns around CMS’ approach to bolstering payment for emerging technologies

The federal agency aims to grant seniors more timely and predictable access to innovative new treatment and diagnosis methods. 

healthcare value value-based care money dollar

Physician group launches e-consult service for reinterpreting outside imaging exams, generating added revenue

In-house physicians were able to “seamlessly” fit this task into their regular workload, experts detailed in Current Problems in Diagnostic Radiology

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Another No Surprises Act win: Qualifying payment amount process was tilted in insurers’ favor, judge rules

“The ruling is a step toward an IDR process that is accessible, fair and efficient,” Jacqueline Bello, chair of the ACR Board of Chancellors, said Monday. 

Anthem

Imaging centers, Bon Secours Mercy Health sue insurer Anthem BCBS seeking $93M

The payer has allegedly engaged in “slow pay and no pay tactics," resulting in an "enormous" volume of claims being denied or downgraded.

Medicare money payment physician

Optimizing imaging sites of service could boost margins, amass thousands more in collections

An organization could add an additional $87,532 on one MRI machine or over $260,000 via CT each year through strategic site selection, experts estimated.

Cigna

Cigna is removing 25% of medical services from prior authorization, but none of them are in imaging

The health insurer has faced criticism over its use of PA, including a class action lawsuit alleging it denied claims for imaging and other healthcare services in bulk

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Solis Mammography acquiring network of breast imaging centers

Supported by Chicago-based Madison Dearborn Capital Partners, the company has grown rapidly in recent years to now include 100-plus locations.

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Private equity-backed LucidHealth touts new 2-year partnership track for its growing teleradiology group

Since 2020, the “virtual practice” has grown to include more than 75 physicians operating across 47 states, with leaders seeking to hire more.

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.