A recent New Yorker article¹ shone a harsh light on the city of McAllen, Texas, where Medicare data suggest that health care costs are nearly twice as high as the national average. Garnering less attention was the example that the author (surgeon Atul Gawande, MD, MPH) gave of a community where health care delivery functions efficiently and

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

Tight credit markets may have lengthened timelines, but hospital systems across the United States continue to move aggressively into their communities to fulfill outpatient imaging strategies. The consulting group Sg2 (Chicago, Illinois) predicts 19% growth in outpatient imaging in the 10-year span between 2008 and 2018, representing 90% of total

Ernest Glad, president of Cortell Health, Dallas, Texas, sees the 2007 CMS restructuring of the DRGs used in the inpatient prospective-payment system as an opportunity that many hospitals are currently squandering. The restructuring adjusts DRG weights based on the severity of a patient’s condition to improve the system’s ability to account for the

After weathering last fall’s fiscal catastrophe, many hospital CFOs now find themselves in Bert Zimmerli’s position. Though Zimmerli is senior vice president and CFO of the only health care system in the country to receive the highest credit rating from both Standard & Poor’s Ratings Services and Moody’s Investors Service, he says that the

It was the contract termination heard ‘round the world when Florida Radiology Associates (FRA) ended its 40-year relationship with Florida Hospital last year. Negotiation of a new contract barely got off the ground before the hospital formed its own in-house radiology group, poaching the majority of FRA’s staff. The incident raised eyebrows in the

Ever since digital imaging liberated radiologists from the site of image acquisition, radiology practices have labored to patch together distributed reading solutions that would efficiently meet the needs of multiple clients, balance workflow, and enable subspecialization.

The answer to that question may appear obvious to imaging informatics professionals, but a study released earlier this year by the Government Accountability Office (GAO) disputed the ability of health informatics to reduce health care cost. Now, all of us in radiology have seen the ability of informatics to reduce imaging costs within the radiology