Shortage of Radiation Oncologists Predicted

An article by Smith et al,¹ published recently in the Journal of Clinical Oncology, forecasts an impending shortage of radiation oncologists, suggesting that...

The ASTRO Survey: Proposed 20% to 30% Cuts Would Devastate Radiation Oncology

Medicare has proposed a 19% overall reimbursement cut for radiation oncology, contained in the proposed physician fee schedule for 2010, and the American Society for Radiation...

Vertical Integration of Outpatient Cancer Care

In the multifaceted world of oncological imaging, there is no shortage of sophisticated technology: The missing element is more likely to be old-school communication....

CXOFiles No.6 Alliance Imaging’s Paul S. Viviano: Master of Diversification

When Paul S. Viviano, joined Alliance Imaging in January of 2003, the company was almost exclusively a mobile MRI vendor. Since then, the company’s...

CXOFiles No.5 Marinaccio Leads Nassau Group in Latest Growth Spurt

One would think a metropolitan radiology practice that is 100% dependant on the outpatient market for all income would be at a competitive disadvantage in...


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



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