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Economics Highlights: Key reimbursement updates | Medical societies unite for change | AI specialists raise $80M

News You Need to Know Today
Economics Highlights: Key reimbursement updates | Medical societies unite for change | AI specialists raise $80M
Monday, November 20, 2023
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Editor's Choice: Economics

‘More dangerous than useful’: 1 in 5 coronary stents implanted by cardiologists are unnecessary, wasting $800M per year

A cardiologist-led think tank tracked data from more than 1 million procedures, exploring the clinical and economic impacts of implanting low-value coronary stents. 

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Patients receive unnecessary coronary stents during percutaneous coronary intervention (PCI) procedures at an alarming rate, according to a new report from the Lown Institute. The analysis included approximately 1 million stent procedures performed at more than 1,700 U.S. hospitals and outpatient facilities from 2019 to 2021.
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‘More dangerous than useful’: 1 in 5 coronary stents implanted by cardiologists are unnecessary, wasting $800M per year

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Patients receive unnecessary coronary stents during percutaneous coronary intervention (PCI) procedures at an alarming rate, according to a new report from the Lown Institute. The analysis included approximately 1 million stent procedures performed at more than 1,700 U.S. hospitals and outpatient facilities from 2019 to 2021.
A cardiologist-led think tank tracked data from more than 1 million procedures, exploring the clinical and economic impacts of implanting low-value coronary stents. 
READ MORE >

IVL gains higher level of reimbursement with one of biggest coding updates for PCI in decades

Intravascular lithotripsy therapy to break up calcified coronary lesions will now be reimbursed at a higher rate under new in-hospital codes the went into effect Oct. 1.

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Intravascular lithotripsy (IVL) therapy to break up calcified coronary lesions will now be reimbursed at a higher rate under new in-hospital codes the went into effect Oct. 1. Illustration of the Shockwave lithoplasty procedure using sonic waves to bust calcium without trauma.
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IVL gains higher level of reimbursement with one of biggest coding updates for PCI in decades

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Intravascular lithotripsy (IVL) therapy to break up calcified coronary lesions will now be reimbursed at a higher rate under new in-hospital codes the went into effect Oct. 1. Illustration of the Shockwave lithoplasty procedure using sonic waves to bust calcium without trauma.
Intravascular lithotripsy therapy to break up calcified coronary lesions will now be reimbursed at a higher rate under new in-hospital codes the went into effect Oct. 1.
READ MORE >

Cardiologists, heart surgeons and imaging experts push for changes that could prevent ‘permanent and unjustifiable Medicare cuts’

More than 100 U.S. medical societies are throwing their support behind a new proposal that could reform out-of-date Medicare policies and help limit future payment cuts. 

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Medicare money payment reimbursement dollar decline. More than 100 U.S. medical societies are throwing their support behind a new proposal that could reform out-of-date Medicare policies and help limit future payment cuts. 
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Cardiologists, heart surgeons and imaging experts push for changes that could prevent ‘permanent and unjustifiable Medicare cuts’

Share on Twitter Share on Facebook Share on Linkedin
Medicare money payment reimbursement dollar decline. More than 100 U.S. medical societies are throwing their support behind a new proposal that could reform out-of-date Medicare policies and help limit future payment cuts. 
More than 100 U.S. medical societies are throwing their support behind a new proposal that could reform out-of-date Medicare policies and help limit future payment cuts. 
READ MORE >

CMS increases reimbursement for CVRx’s implantable Barostim device for heart failure

Implanting the Barostim device is now associated with an average payment amount of $45,000, up significantly from the previous average of $29,000.

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Barostim Neo 2 CVRx heart failure nerve stimulator on display at HRS 2023. Photo by Dave Fornell
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CMS increases reimbursement for CVRx’s implantable Barostim device for heart failure

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Barostim Neo 2 CVRx heart failure nerve stimulator on display at HRS 2023. Photo by Dave Fornell
Implanting the Barostim device is now associated with an average payment amount of $45,000, up significantly from the previous average of $29,000.
READ MORE >

CMS increases reimbursement for AI-powered heart failure platform

Ultromics thinks the significant payment increase will help ramp up utilization among U.S. healthcare providers.

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Ultromics EchoGo AI platform. When the Centers for Medicare & Medicaid Services (CMS) finalized the 2024 Hospital Outpatient Prospective Payment System final rule, it included an updated reimbursement for the EchoGo Heart Failure platform from Ultromics. EchoGo Heart Failure is now associated with an ambulatory payment classification (APC) code of APC 5743 and a payment rate of $284.88.
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CMS increases reimbursement for AI-powered heart failure platform

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Ultromics EchoGo AI platform. When the Centers for Medicare & Medicaid Services (CMS) finalized the 2024 Hospital Outpatient Prospective Payment System final rule, it included an updated reimbursement for the EchoGo Heart Failure platform from Ultromics. EchoGo Heart Failure is now associated with an ambulatory payment classification (APC) code of APC 5743 and a payment rate of $284.88.
Ultromics thinks the significant payment increase will help ramp up utilization among U.S. healthcare providers.
READ MORE >

AI specialists raise $80M to ramp up commercialization of imaging analysis software

The big funding round continues a busy year for Elucid as the company works to get its AI software in the hands of more physicians. 

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AI specialists raise $80M to ramp up commercialization of imaging analysis software

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The big funding round continues a busy year for Elucid as the company works to get its AI software in the hands of more physicians. 
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Private equity-backed pharmaceutical company acquires stroke drug from Bayer

The drug, nimodipine, is a second-generation calcium channel blocker designed to prevent and treat cerebral vasospasm following an aneurysmal subarachnoid hemorrhage.

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private equity corporatization business consolidation
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Private equity-backed pharmaceutical company acquires stroke drug from Bayer

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private equity corporatization business consolidation
The drug, nimodipine, is a second-generation calcium channel blocker designed to prevent and treat cerebral vasospasm following an aneurysmal subarachnoid hemorrhage.
READ MORE >

Holding company acquires heart monitoring specialists Digital Diagnostics Imaging for $11M

DDI currently has contracts with nursing homes and hospitals in 42 states.

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money business cash flow dollar. Kingsway Financial Services, a Chicago-based holding company with subsidiaries in several industries, has acquired New Jersey-based Digital Diagnostics Imaging (DDI) for $11 million. The transaction was funded with $5.4 million in cash and $5.6 million in debt financing.
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Holding company acquires heart monitoring specialists Digital Diagnostics Imaging for $11M

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money business cash flow dollar. Kingsway Financial Services, a Chicago-based holding company with subsidiaries in several industries, has acquired New Jersey-based Digital Diagnostics Imaging (DDI) for $11 million. The transaction was funded with $5.4 million in cash and $5.6 million in debt financing.
DDI currently has contracts with nursing homes and hospitals in 42 states.
READ MORE >

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