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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Radiologists, emergency physicians and anesthesiologists jointly praise key court decision

The three medical societies said they "stand ready" to work with the federal government and other stakeholders to ensure a fair IDR process under the No Surprises Act.  

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UnitedHealthcare eliminating prior authorization for more than 60 radiology services

Impacted procedures will include breast MRI with contrast, bone marrow imaging, gastroesophageal reflux studies and cardiac shunt detection, UHC said.

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Breast radiologists sued more frequently in the US than Canada

Researchers speculated on several reasons why the United States sees more breast imaging-related lawsuits than its neighbor to the north. 

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Breast cancer overdiagnosis may be common among older women, study contends

The findings point to a "real need for better tools to identify which women may benefit from screening and which breast cancers are unlikely to be progressive." 

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Judge denies Radiology Partners’ initial request to resolve ‘bogus’ UnitedHealthcare lawsuit via arbitration

The nation's largest commercial insurer recently filed an amended complaint, claiming that RP perpetrated a billing scheme motivated by "pure greed."  

Use of advanced imaging skyrockets in ED, and radiologists should be ready for more

The surge in imaging utilization is independent of increased patient volumes, “suggesting that other extrinsic drivers” contributed, researchers noted. 

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Federal court sides with radiologists, vacating 600% fee increase under No Surprises Act

RBMA called the decision “a significant victory for providers, especially within the field of radiology.” 

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ACR shares concerns about specialty’s ‘struggle’ to participate in alternative payment models

Barriers to radiologists’ success in MIPS include their ineligibility to earn maximum incentive adjustments, despite perfect performance. 

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.