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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CSI faces allegations of kickbacks, illegal marketing tactics

A former Cardiovascular Systems, Inc. (CSI) salesman has filed a lawsuit alleging the medical device maker participated in illegal marketing practices.

CMS releases proposal for 2016 hospital outpatient payments

Next year, hospitals will receive slight reductions in outpatient hospital stay payments when treating Medicare patients, according to a proposed rule from the Centers for Medicare & Medicaid Services (CMS) released on July 1.

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Cardiologists’ Medicare payments to remain similar in 2016

Cardiologists and others treating Medicare patients will receive around the same amount of payments in 2016, according to the proposed Medicare Physician fee schedule released on July 8. The Centers for Medicare & Medicaid Services (CMS) will release the final rule by Nov. 1.

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Health insurers seek steep rate increases

For 2016, health insurance companies are seeking rate increases of 20 percent to 40 percent, the New York Times reports. State insurance regulators are currently reviewing the requests.

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Blood Money: Curbing Biomarker Testing Keeps Costs Down

Biomarker testing may allay concerns yet provide little clinical benefit. Eliminating unneeded tests can save big bucks, one hospital has shown.

Poll: 62% agree with Supreme Court's King v. Burwell ruling

More than 60 percent of people responding to a survey approved of the Supreme Court’s June 25 ruling in the King v. Burwell case while nearly one-third disapproved of the decision. The court ruled that the federal government and states could continue offering subsidies to purchase coverage on health insurance exchanges that were created as part of the Affordable Care Act (ACA).

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Doctors, hospitals collect $6.5 billion from pharma, device companies

In 2014, doctors and research hospitals collected $6.5 billion from pharmaceutical and medical device companies, Reuters reports. The figures were revealed in a report from the Centers for Medicare & Medicaid Services that listed information on payments that 1,444 companies made to 607,000 physicians and more than 1,100 teaching hospitals.

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ACA opponents remain committed to dismantling the legislation

The Supreme Court ruled on June 25 that people purchasing health insurance on the federal exchange can receive subsidies to help them afford the coverage. Still, Congressional and state opponents of the Patient Protection and Affordable Care Act plan on dismantling the law piece by piece, the Wall Street Journal reports.

Around the web

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.