Appropriateness and the ACO: How Radiology Can Position Itself to Lead

Radiology groups’ conversations with their hospital partners are undergoing an evolution, in the experience of Edward Rittweger, MD, president of Navesink Radiology (Red Bank,...

Patient Engagement: Man Finds Own Cancer!

Patient engagement in health care (or patient-centered communication, as it’s often called) has been compared to marriage, where the relationship between care seeker...

The ACO Around the Corner

Perhaps because they don’t hang a sign out front, they aren’t located in one place, and they are (in a sense) virtual,...

RBMA Spring Summit Roundtable: Imaging and the IHN

On May 22, “Imaging and Accountability: Imaging’s Role in the Integrated Health Network” was presented at the RBMA 2012 Radiology Summit in Orlando, Florida. This...

88 New ACOs

Physician groups figure prominently among 88 new accountable-care organizations (ACOs) added to the Medicare Shared Savings Program’s participants on July 1, 2012. With the latest announcement...

Shapeshifting in the Era of Health-care Reform

Engage in scenario planning to prepare for the changes ahead, Frank Lexa, MD, MBA, says. Lexa identifies six incontrovertible challenges that drove the adoption...

ACOs: A Concept in Motion

While health-policy experts debate the potential of accountable-care organizations (ACOs) to address the problem of cost in US health care, a panel held on...

ACOs and Radiology Technology: A Conversation With Bibb Allen Jr, MD

The Patient Protection and Affordable Care Act calls for early adopters to launch accountable-care organization (ACO) demonstration projects and shared-savings programs in 2012. The development...

Quo Vadis/ Whither Goest Thou?

It is no easy task to hit a moving target, so the seven speakers who presented the refresher course, “How Payment Policy Will Impact...

Health Reform’s Impact on Imaging

Plenty remains unknowable about the incipient impact of the A Health-reform Primer for Providers

A buoyant tour of health-care reform greeted radiologists who gathered at the annual American Roentgen Ray Society meeting for the Caldwell Lecture, delivered by...

Finger in the Wind

Physicians are in a real bind as fee-for-service reimbursement falls under attack and alternative payment methods (such as bundling and capitation) gain traction in...

When the Invisible Hand Meets an Immovable Object

In a coincidence worth noting, Adam Smith’s The Wealth of Nations was published in 1776, the year that our nation-to-be declared its independence from...

Comparative-effectiveness Research and Imaging: Insights and Ambitions

In addition to extending coverage to an estimated 31 million US residents, the recently passed HR 3590, the Patient Protection and Affordable Care Act, has ensured...



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Appropriateness and the ACO: How Radiology Can Position Itself to Lead

The Growth Paradox: How Should Radiologists’ Behavior Be Rewarded?

Using Analytics to Achieve Strategic Goals: Quantum Imaging & Therapeutic Associates

Perspectives on Quality



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The Jig Is Up

For many years, hospitals and physician practices have engaged with payors in a little game we play in a free market society called “negotiation.” This game enables the players to use whatever tools and stratagems they possess to leverage as good a price possible for their services/business in an increasingly price-conscious marketplace. On the provider side, good means high, and on the payor side, good means low. Providers might negotiate from a position



Perspectives
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Cheryl Proval
The Jig is Up
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Curtis Kauffman-Pickelle
Video: Influence and Leadership
More Healthcare Reform Articles

Implications of Reform for Hospitals: Seismic or Subtle?

Hospitals are keeping a wary eye on Washington, and on several key payor trends with major implications for imaging service lines, for good reason. <...

Preparing for Potential Reform: The Hospital View

Some proponents of national health care reform expect to pop the champagne corks any day now in celebration of getting a bill through Congress....

Too Big to Understand

I just finished reading the new book about last year’s financial near meltdown, Too Big to Fail (Viking, 2009), by Andrew Ross Sorkin. The...

Window on 2010: Impact of Imaging-Specific Health Care Reforms

Since the dawn of the DRA at the close of 2005, health care observers have predicted a follow-on DRA II. It appears that this prediction...

Health Care Efficiency: No Miracle Cure

Health care reform ideas are everywhere these days. As a radiologist, I’m all for controlling costs—but I challenge the assumption that national...

Too Much Health Care?

Of all the issues facing today’s imaging executives and radiologists, none sounds more cacophonous than the nearly universal cry that the United States...

Radiology Braces for Change Ahead

Some US employees still enjoy Cadillac-style health plans in which little is paid out of pocket and coverage includes almost every health need, but...

Adding Patient Value to Health Care

Harvard professor, best-selling business author, and management consultant specializing in competitive advantage Michael E. Porter, PhD, offers his free-market spin on health care reform...

Against the Sword of Damocles

As you read this, health care reform (at least the idea that a single, transformative bill will markedly and permanently reduce the problem of...

The Demise of Reason (and Eating Crow)

During August, the health care debate moved from the marble edifices of Washington, DC, to the highways and byways of US life. To this...

Health Care Reform and Medical Imaging: The 10,000-foot View

The Obama administration is pursuing an aggressive timetable to deliver on a campaign promise to make affordable health care available to all US residents....

Radiology and the Culture of Money

Let’s get the full disclosure part out of the way right up front. I am a capitalist: an Adam Smith, free-market, supply-side,...

Health Care Tomorrow: A Revisionist Preview

Jeff Goldsmith predicts that, despite inevitable changes, the future of health care is more sound than many people believe. Goldsmith, president, Health Futures, Inc,...

Health Reform’s Shortest Era

He came. He saw. He vanished. Just as we health care journalist types were lining up the margins and checking references on our various...

Health Care Delivery, Undisrupted

How to afford health care is not the question we should be asking in these times of unsustainable health care cost increases. The right...

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