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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Insurers accused of $50B fraud connected to Medicare Advantage plans

According to a report, from 2019 and 2021, Medicare Advantage plans put taxpayers on the hook for dubious care services.

doctor's open hand waiting for a payment

CMS proposes 2.8% pay cut for providers in 2025

The average payment rate to physicians is suggested to be reduced by 2.93% in 2025 under the proposed fee schedule change, the agency noted. 

AMA graphic showing Medicare payment inflationary updates for most providers, but not physicians. #AMA #medicarereform

AMA: Community practices unsustainable with low Medicare and Medicaid physician payments

The American Medical Association says payment policies are challenging the viability of smaller physician practices, which will eventually cause healthcare access issues.

heart surgery surgeons

Baylor, others paying $15M over DOJ allegations they ‘gambled’ with heart patient health

According to a whistleblower, multiple Texas healthcare providers put complex heart surgeries in the hands of unqualified trainees without proper supervision. The $15M being recovered is the largest amount ever for a case of this kind. 

Jason Wasfy, MD, associate professor at the Harvard Medical School and director of quality and outcomes research, Massachusetts General Hospital Heart Center, spoke at the Heart Rhythm Society 2024 meeting in the business of cardiology sessions about the current and future models of value based payments.

Value-based care gives cardiology practices an opportunity to thrive

Value-based payments can impact cardiology practices in many ways, helping cardiologists acquire new technology and boost patient care.

Healthcare growth slows, but June adds 49,000 new jobs

For the last year, the average monthly growth has been 64,000 new jobs. However, healthcare continues to outpace most other sectors of the economy.

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Cano Health emerges from bankruptcy, achieves $270M in cost reductions

On June 28, a court approved the company’s restructuring plan. Cano Health initially filed for bankruptcy in February 2024.

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Tracking private equity: Cardiologist, CEO share perspective on acquisition trends

The ongoing rise of private equity continues to be one of the biggest topics in modern healthcare. 

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Around the web

Cardiovascular Business
Payment cuts and beyond: Key takeaways for cardiologists from the 2025 Medicare Physician Fee Schedule

The American College of Cardiology has shared its perspective on new CMS payment policies, highlighting revenue concerns while providing key details for cardiologists and other cardiology professionals. 

AI in Healthcare
A modest proposal to rally AI regulators around a simple game plan

As debate simmers over how best to regulate AI, experts continue to offer guidance on where to start, how to proceed and what to emphasize. A new resource models its recommendations on what its authors call the “SETO Loop.”

Cardiovascular Business
FDA commissioner urges clinicians to join fight against medical misinformation

FDA Commissioner Robert Califf, MD, said the clinical community needs to combat health misinformation at a grassroots level. He warned that patients are immersed in a "sea of misinformation without a compass."

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