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Healthcare Economics & Policy

 

Patients are often required to pay high out-of-pocket costs for advanced imaging services, especially when out of their network, according to a new study published in the Journal of the American College of Radiology. The authors suggested that radiologists should communicate these costs to patients to help prevent “surprise billing.”

Infused chemotherapy is associated with lower costs for commercial insurance providers when administered at a physician’s office compared to a hospital outpatient department (HOPD), according to a new study published in JAMA Oncology.

Siemens announced this week it is planning to list its healthcare division, Siemens Healthineers, on the Frankfurt Stock Exchange in Germany sometime in the first half of 2018. The initial public offering (IPO) is expected to take place as early as March.

Many of radiology’s hottest topics are closely connected to health IT personnel and technologies, making HIMSS18 in Las Vegas an especially enticing meeting for any imaging professional. Christopher J. Roth, MD, associate professor of radiology at the Duke University School of Medicine and a member of the HIMSS-SIIM Enterprise Imaging Workgroup, spoke with RBJ to preview HIMSS18 and talk about the industry as a whole. 

Anthem is forging ahead with its decision to push outpatient imaging out of hospitals. Is the insurance giant a pariah or a harbinger? 

 

Recent Headlines

ASCO paper overestimates Medicare cost of LDCT lung-cancer screening

The ACR issued a swift response to a paper presented this morning at the annual meeting of the American Society of Clinical Oncology (ASCO) that overestimates the potential costs of low-dose CT (LDCT) lung-cancer screening to the Medicare program by using an outdated definition of a positive screening study.

CMS cuts radiology a break

I wouldn’t necessarily call it a windfall, but radiologists and their practice and department administrators got a piece of very good news this week with the announcement that CMS has recognized the ACR’s National Radiology Data Registry as a so-called Qualified Clinical Data Registry.

Nonprofit partners with payors to promote price transparency

Earlier this month, the nonprofit Health Care Cost Institute (HCCI) in Washington, DC, announced that it had brokered a deal with three large national health insurers to contribute claims data to an online consumer tool that will offer information about the price and quality of 300 to 400 health care procedures—a list likely to include selected medical imaging procedures.

Health Affairs: 8 strategies to combat price inflation

An article published online first in the journal Health Affairs explores the strategies that institutional healthcare consumers—payors and purchasers—can use to fight price inflation in the face of provider consolidation.

Are employed, teleradiology practice models eroding private practice dominance?

Ten years ago, the overwhelming majority of radiologists were engaged in private practice; today just 41% to 54% of respondents to ACR-sponsored workplace surveys say that they are in private practice, according to a report in the current issue of the Journal of the American College of Radiology.

Introducing RadiologyBusiness.com: News You Need

Welcome to the inaugural edition of Radiology Business, the weekly newsletter from RadiologyBusiness.com. With news in our market developing at such a rapid rate, we aim to provide a weekly digest of topics, trends and happenings important to radiology business professionals. 

Beware the Ides of MedPAC

The annual mid-March report to Congress of the Medicare Payment Advisory Commission (MedPAC) often is a good predictor of things to come, many of which have rocked radiology’s boat since 2005.

M*Modal enters chapter 11 bankruptcy protection

Speech recognition and data analytics vendor M*Modal, Franklin, TN, has filed for bankruptcy protection under Chapter 11 in the U.S. Bankruptcy Court in New York, reports the Wall Street Journal.

41 Medical Societies Call for Quick Coverage on LDCT for Lung Cancer Screening

In an uncommon demonstration of agreement, 41 medical organizations delivered a consensus document to CMS calling for quick coverage of low-dose CT lung cancer screening for high-risk patients.

A 21 Gun Salute to the RBMA Quest Marketing Award Winners

On Monday, March 10, the RBMA Quest Marketing Award winners were announced during the organization’s annual Building Better Radiology marketing Programs in Long Beach.

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