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.

Money dollar investments

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

August 29, 2023

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. 

August 29, 2023
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.

August 29, 2023
Medicare money payment physician. The CardioVascular Coalition and Society for Cardiovascular Angiography and Interventions have both issued new statements highlighting their issues with the 2024 MPFS proposed rule. 

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.

August 28, 2023
Cigna, one of the nation’s largest health insurance providers, announced new priorities for its capital deployment, including steering an additional $450 million into Cigna Ventures.

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

August 25, 2023

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.

August 25, 2023

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.

August 25, 2023
Mark Michalski Ascertain

Radiologist appointed CEO of ‘healthcare AI company creation platform’ Ascertain

The company has raised $100 million in seed funding and earlier this year started Optain, which aims to identify diseases via retinal imaging. 

August 24, 2023

Around the web

"This was an unneeded burden, which was solely adding to the administrative hassles of medicine," said American Society of Nuclear Cardiology President Larry Phillips.

SCAI and four other major healthcare organizations signed a joint letter in support of intravascular ultrasound. 

The newly approved AI models are designed to improve the detection of pulmonary embolisms and strokes in patients who undergo CT scans.

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