dismiss

Clean Sweep Live Auction on Wed. May 1st. Click to view the full inventory

DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Pediatrics
SEARCH
Current Location:
>
> This Story


Log in or Register to rate this News Story
Forward Printable StoryPrint Comment
advertisement

 

advertisement

 

Business Affairs Homepage

Canon's Vital Images wins DoD contract Maximum $100 million fixed‐price contract for radiology and imaging systems

Are you GDPR compliant? It's not just a question for EU-based companies Here are the top eight considerations

Security tightening at hospitals for patient safety A noticeable change is occurring at the front entrance to hospitals

Johnson & Johnson completes Auris Health deal The $3.4 billion acquisition could include additional payments up to $2.35 billion

Follow-up imaging study points to benefits of automated notification Raising the bar on manual callbacks

Change Healthcare files for IPO Could raise as much as $100 million, listing on Nasdaq

Mergers do nothing for quality of care, lower patient satisfaction, says study Based on 29 data points and the assessment of 16 processes of care

GE Healthcare IPO on hold as new deal takes spotlight Selling biopharma business to Danaher for over $21 billion

Asheville Radiology Association joins Strategic Radiology The latest expansion by the imaging coalition brings 43 new physicians to the table

Johnson & Johnson to acquire Auris Health for $3.4 billion With possible $2.35 billion added if certain milestones are hit

Panel calls for radiologists to 'take a seat at the table' in shaping new payment model

by John W. Mitchell , Senior Correspondent
In a presentation on the first day of the 2015 RSNA, three radiologists with experience in providing service under Accountable Care Organizations (ACO) payment models, ushered in by the Affordable Care Act, shared their insights. Their feedback and predictions ranged from mildly opportunistic to somewhat pessimistic.

“I think right now is an opportunity for radiologists to be problem solvers,” Dr. Jonathan Breslau, chief of imaging at Sutter Medical Group told HCB News. “If you’re standing still you’re going downhill.”

Story Continues Below Advertisement

THE (LEADER) IN MEDICAL IMAGING TECHNOLOGY SINCE 1982. SALES-SERVICE-REPAIR

Special-Pricing Available on Medical Displays, Patient Monitors, Recorders, Printers, Media, Ultrasound Machines, and Cameras.This includes Top Brands such as SONY, BARCO, NDS, NEC, LG, EDAN, EIZO, ELO, FSN, PANASONIC, MITSUBISHI, OLYMPUS, & WIDE.



He added that the 2016 presidential election would not be a panacea. No candidate, he stressed, was going to be able “to wave a magic wand” to return health care payments to the old days of fee-for-service.

In his portion of the presentation Breslau discussed the aggregate performance of 33 “pioneer” ACOs across the country. He said that while costs dropped overall by $450 million under these plans it was not a significant amount in the scheme of national health care costs. He also noted that only 54 percent of the plans achieved any savings at all.

He noted that quality has been impacted positively under the ACO models, with improvements in 28 of 33 measures.

“But to date there doesn’t seem to be a correlation between saving money and improving quality,” said Breslau.

All three presenters noted that radiologists have not had much input in shaping quality measures. Aside from ease of scheduling, radiologists do not have much influence on patient satisfaction scores.

“Radiologists can reduce costs by avoiding unnecessary imaging and encouraging shared-decision making,” said Dr. Clifford Belden, who has recently been recently appointed chairman of radiology at Temple University. He spoke of his prior ACO experience at Dartmouth-Hitchcock Health. “But radiologists must be engaged or risk becoming just a commodity.”

Despite the mixed result of the pioneer ACOs – including that at Dartmouth-Hitchcock that reduced costs by four percent but still missed targets requiring the system to pay back $3.7 million – he thinks the model has potential. Belden cited the willingness of CMS to quickly change the metrics if they are not working.

He said that Dartmouth-Hitchcock canceled its ACO participation after the loss. But Belden added the health system has applied to participate in the next generation of ACOs.

Dr. John Lohnes, Jr., a radiologist with Wichita Radiological Group, said that an ACO group of specialists also pulled out of a pioneer ACO after disappointing financials.

"The problem with Accountable Care Organizations is that they are not really accountable or manageable,” Lohnes told the audience. "The model shifts risk from the payers to the physician specialists.” He said that much of the improvements needed to reduce costs and increase quality falls to medical specialists, not just primary care physicians.

Despite the challenges in reshaping the current health care system and the associated payments to doctors, Lohnes said he remains “a closet optimist.” As with his colleagues, he urged radiologists to get involved in policy-making decisions.

Business Affairs Homepage


You Must Be Logged In To Post A Comment

Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Quotes
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2019 DOTmed.com, Inc.
ALL RIGHTS RESERVED