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,...

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...

RBMs in New Orleans: The Panel and the Pain

On June 7, 2011, at the Annual Summit of the RBMA in New Orleans, Louisiana, four CEOs and one senior leader—representing all five radiology benefit...

Clinical Decision Support: The Journey Begins

Is it goodbye to radiology benefit management (RBM) companies and hello to automated decision-support systems? Not really, as the two aren’t mutually exclusive....

Where Is the Alignment Behind Decision Support?

The lack of consensus (and vision) in the imaging community is readily apparent when the topic of clinical decision support is raised. Clinical decision...

Medicare Imaging Demonstration Project: CMS Rolls the Dice on Decision Support

Automated decision-support systems to guide physicians who order advanced imaging exams for their patients have been promoted for years, but there have been few...

Will Decision Support Deflect Preauthorization?

Decision support might be able to remove the target taped to radiology’s back, according to a tandem presentation that was made by two...

Can Decision Support Supplant Precertification?

Health-care reform is here, and it’s the DRA all over again (but on steroids). Adjustments to the RVU for equipment utilization have increased...

Using Next-generation IT Tools to Improve Appropriateness

Ramin Khorasani, MD

It might well have been the unofficial theme of RSNA 2009 in Chicago, Illinois: “You can’t change what you can’t...

Coalition Forms to Promote Clinical Decision-support Tools

In June, an alliance of health care providers, technology vendors, and imaging organizations announced the formation of the Imaging e-Ordering Coalition, an initiative aimed...

RBMs: The Debate Heats Up

After a false start, RBMs have come on strong, but the advent of computerized physician order entry leads some to believe there are better...

MGH Decision-support Study: A Shot Across the RBM Bow

A new study1 finding that radiology order-entry (ROE) and decision-support (DS) tools act to curtail utilization rates for advanced imaging is being celebrated as...

Precertification: The Provider Foots the Bill

Is radiology benefit management (RBM) companies extend the reach of precertification and preauthorization programs, hospitals and physician practices across the nation are incurring significant...

RBM to Broker Teleradiology Services

A corporate offshoot of radiology benefit management (RBM) company MedSolutions, Nashville, Tenn, has begun marketing a program of subspecialized teleradiology services to payors.

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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