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,...

Perspectives on Quality

In the last issue of RadAnalytics, I wrote about productivity and efficiency, with an...

Radiology’s ACO Play: Get in the Game—Now

The ACO, a relatively new concept that met with great skepticism when it appeared in the Patient Protection and Affordable Care Act, now ranks...

Radiologist As Gatekeeper, Part I

For at least a dozen years, radiology has played a cat-and-mouse game with the notion of assuming a more active role in determining which...

A Big Idea—and Bigger Challenges

Every once in a while, a big idea floats, like a sweet vapor, across the popular consciousness, invading every corner of US life, from...

Disruption Survival Guide

In a fast-paced market, the ability to defend a business against (and to take advantage of) disruption is crucial for staying ahead of the...

Future Tense: Radiology’s Clinical Pathway

Roderic Pettigrew, MD, PhD, is director of the National Institute of Biomedical Imaging and Bioengineering (NIBIB) of the National Institutes of Health (NIH). He...

Subspecialization and Teleradiology: An Uneasy Alliance

Why would orthopedic surgeons bypass a nearby hospital or imaging center when referring patients? If they happened to be in the Midwest, they might...

In Search of Shangri-La: Alternative Models of Imaging-service Delivery

For decades, the radiology practice partnership model has been the dominant form of imaging delivery. Change, however, is afoot. Health-care reform and other factors...

The Future of the Practice of Radiology

I have great optimism for the survival of the practice of radiology. I believe that many groups will thrive, and that there is the...

Joint Adventure: A Case Study in Hospital–Practice Integration

This article is the second in a four-part series on options for hospital–practice integration. To read the first article, click

Managing Expectations

Editor Cheryl Proval and I had the privilege of moderating a very interesting and animated session at the recent RBMA meeting in New Orleans,...

It’s All About Scale

An October 26 commentary in the Wall Street Journal entitled “Big Insurance, Big...

Betting Long: Technology Investment Trumps Partners’ Income Boost

Many radiology-practice leaders will, at one juncture or another, pursue business directions intended to increase partners’ incomes. While nothing is inherently wrong with this...



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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



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The Jig is Up
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Video: Influence and Leadership
More Strategic Planning Articles

The Opportunity Knocks Now: Lead or Be Led

Over the past decade, economic forces driving health care in the United States have removed many patient-care decisions from the hands of physicians. Fortunately,...

Scenario Planning for Health-care Organizations

If you’re not scenario planning, you’re not planning. This bold assertion, issued in a recent white paper by Strategic Radiology: 15 Practices Align for Strength

Arl Van Moore Jr, MD, FACR, says, “I’m the 50,000-foot guy.” Van Moore chairs Strategic Radiology, LLC, a consortium of 15 major radiology groups...

Radiology’s Next Move

Imagine the situation facing radiology practices and their changing market relationships as multiple, concurrent chess matches. In order to reach a respectable outcome without...

Restructuring: The Way JVs Get Done

After Congress passed the DRA, reducing Medicare reimbursements for imaging services, the radiology landscape has never been the same. This is especially true for...

Informatics: Linchpin of Personalized Medicine

In urging radiologists to adopt a new focus on quality improvement, RSNA outgoing president Gary Becker, MD, outlines the steps necessary to achieve this...

Evaluating Radiology’s New Revenue Streams

In January 2008, the ACR® appointed a task force to research and report on the efficacy of the increasing number of value-added services in radiology....

Scanning Imaging’s Deals

Among the more interesting dramas unfolding in the medical imaging profession these days are the number and variety of transactions that are either in...

Of Competitors and Superheroes

An eerie presence had descended on Gotham, and ordinary imaging providers in and around New York were worried. Would their most at-risk patients continue...

Strategy Before Structure, Blue Ocean Style

Business strategy has been proceeding backward for three decades or more, according to the authors of Blue Ocean Strategy.¹ In the September 2009 issue...

Raising the Voices of Radiology

Every business has its stressors, and certainly, the past year has been an economic challenge for many different industries. Radiology, however, seems to have...

OIC Deployment: Buy, Build, Sell, or Hold?

Tight credit markets may have lengthened timelines, but hospital systems across the United States continue to move aggressively into their communities to fulfill outpatient...

The Digital Dilemma: More than a Can of Paint

A disturbing trend is clearly visible in the marketplace: too many new imaging facilities are out-of-date by the time they are initially operational. Two...

The Practice CIO: Driving Business Innovation

CIOs are playing a key role in moving the clinical and business operations of the radiology practice into the 21st century

A...

Ten Steps to ARRA

Charles Christian, CIO, Good Samaritan Hospital, Vincennes, Ind, identifies the following steps that organizations should take to position themselves to receive their share of...

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