A convergence of factors shaping the current health care environment—including some key regulatory changes—has caused many health systems to reevaluate their broad array of physician relationships in an effort to determine the optimal hospital–physician alignment strategy. This is particularly true of medical imaging arrangements, as hospitals
Prior to 2007, medical practices that developed and used imaging facilities on an exclusive, full-time basis were not overly scrutinized by payors or regulators. In addition, physician practice arrangements that were properly structured to allow the practice to use the imaging facility on a part-time basis (such as block leasing) were also quite
Drastic reimbursement reductions for MR and CT in the freestanding setting have made joint ventures with referring physicians more attractive than ever, writes Jerry J. Sokol, JD, and Joshua M. Kaye, JD, health care attorneys with McDermott Will & Emery, in an article in the January issue of Imaging Economics.