Change the Conversation

Here’s a confession: Though a bit of a snob about most of what’s on television these days, I’m obsessed with AMC�...

Anatomy of a Pay Cut

My initial reaction was to flinch and move on, like a punch-drunk fighter, when I heard about the 90% assumed equipment-utilization rate in the omnibus...

Monopoly Money

You know how good it feels. You finally did the right trade and now own Boardwalk and Park Place. Everyone who has the misfortune...

What Payors Want From Radiology

What, exactly, do patients, employers, and insurers want from radiology? All too frequently, the answer is more expertise, at a lower price.

Summer Reverie and Olympic Dreams

August is the sweetest month. The Pacific Ocean is finally warm enough to swim in, the tomatoes are ripening faster than I can eat...

The 75 Largest Private Radiology Practices

Click the image to view The 75 Largest Private Radiology Practices | Click here to download the PDF Radiology’s Nuclear Spring

Tilting toward RSNA and entering the home stretch of 2011, I haven’t had a lot of time to reflect on the year, but I...

Magical Thinking About Imaging

I understand that the government does not want to spend money on an imaging examination that is unnecessary. As a fiscal conservative, I have...

Predator or Prey?

Here we go again: In a replay of the early, heady days when HMOs and managed-care models blurred the lines between payor and provider,...

The Sorcerer’s Apprentice: A Conversation With Jeff C. Goldsmith, PhD

What happens when you cross a futurist and a radiologist?

In October 2010, Oxford University Press published The Sorcerer’s Apprentice: How Medical...

A Pollyanna Interlude

Those who know me even a little would never peg me as a Pollyanna, heroine of the 1913 novel of the same name by Eleanor...

Imaging-center Data: Interpreting New Industry Volume Trends

Analysis of the fair market value of an imaging center requires the analysis of disparate sets of information regarding the environment in which the...

Content Matters

There is a growing national discussion focused on the business model of publishing, in this era of niche media—especially as it relates to...

Pat Basu, MD, MBA: The Radiologist in the White House

While radiologists have served in prominent positions in Washington, DC, in the past, none have ever served as White House fellow and special assistant...

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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

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