One of the primary complaints providers often have about radiology benefits management programs (RBMs) is that they have the power to deny coverage to a patient in need. But what if the RBM is unable to deny coverage? 

Anxiety is often cited as a “harm” of screening mammography, perhaps most famously when the United States Preventive Services Task Force listed it, along with false-positives, as reasons average-risk women ages 40 to 49 should not get routine mammograms. 

The sessions at the AHRA 2015 Virtual Fall Conference may be prerecorded, but the festivities began on Oct. 16 with a live keynote presentation from Richard Duszak, MD, chief medical officer of the American College of Radiology’s Harvey L. Neiman Health Policy Institute.

Surveying a room full of practice management executives at the Radiology Business Management Association’s Spring Summit in Las Vegas, Nev., William Moore III, then CEO of Desert Radiologists, said: “Many of you in the audience would ask the question, ‘Why in the world would a radiology practice want to implement capitation, or take at-risk patients?’”

Intention deserves more attention in modern radiology, according to a recent commentary published in Academic Radiology, because it’s intent that separates living, breathing radiologists from decision-making machines. 

Radiology must put the patient at the center of its universe or join the race to the bottom of the reimbursement barrel

Turnaround time, step aside: A new generation of quality metrics is paving the way toward value-based radiology

The transition to a value-based reimbursement incentive-payment model will require new forms of hospital–radiologist partnership to contain costs and optimize revenue