Clean Sweep Live Auction on Wed. February 27th. 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 Mobile Imaging
Current Location:
> This Story

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




Business Affairs Homepage

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

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

Maybe competition is good for what 'ails' hospitals Mergers may be good for business, but what about patients?

Frost & Sullivan outline 10 growth factors for precision imaging market Market predicted to be more than $8 billion by 2027

RadNet buys Kern Radiology The Bakersfield, California imaging group includes four offices

More of GE healthcare unit could be on block: CEO CEO Culp speaks in post-earnings call after company exceeds Q4 expectations

Philips, Lunit, Vuno in healthcare AI deal Forging partnerships to advance AI applications

Trade war forcing Philips to move production between US, China CEO van Houten addresses company growth in earnings call

Aetna, Anthem, Health Care Service, PNC Bank and IBM collaborate on healthcare blockchain 'ecosystem' Increasing industry transparency

Clinical wearables – remaining competitive in an evolving market Insights from Ravi Kuppuraj, Business Leader of Connected Sensing Venture for Philips

Challenges for radiologists in a value-based care model

by John W. Mitchell , Senior Correspondent
Imagine a world where radiologists act more as primary care providers, driving cost reductions and better outcomes, all while getting a monthly payment from each member of a population health management plan.

That was one of the possible scenarios laid out in the latest Society for Imaging Informatics in Medicine (SIIM) webinar last Thursday. Dr. James Whitfill was the presenter in a webinar titled "Where does imaging fit in a value-based care world?".

Story Continues Below Advertisement

RaySafe helps you avoid unnecessary radiation

RaySafe solutions are designed to minimize the need for user interaction, bringing unprecedented simplicity & usability to the X-ray room. We're committed to establishing a radiation safety culture wherever technicians & medical staff encounter radiation.

Whitfill, who has guided the value-based payment (VBP) transition in his own multi-specialty practice, and also consults with other physician entities on the topic, made the case to an audience of 241 attendees.

"Imaging does not naturally fit into many of the outcomes-driven value-based models," Whitfill told HCB News. "Typical barriers include the lack of data to show that imaging affects hard outcomes like total medical cost or admissions to a hospital. This makes it harder for imaging to justify its role in a VBP model."

Whitfill walked onlookers through the realities of rising health care costs with an array of data and charts. He said all the players in health care - business, government, and patients — are near exhausting their ability to fund health care under the traditional fee-for-service model. Further, this rising trend in health spending — which is at about 17 percent of gross national product — has some potentially serious consequences.

"Our ability to compete in global markets will be diminished once health care spending exceeds 20 percent in the U.S.," he predicted.

He reminded the audience that starting in 2020 automatic reimbursement increases will end. Physicians, including radiologists, will then be subject to payment increases or decreases under the Merit Incentive Payments System (MIPS) depending on how they perform on cost and quality metrics. By 2022, low-performing radiologists could see their payments begin to drop nine percent a year.

Whitfill warned that in a value-based system, imaging is at risk of becoming a cost center, rather than the traditional revenue center. He acknowledged the work of the American College of Radiology (ACR), and its Imaging 3.0 program, to prepare for VBP and MIPS. However, he said imaging might need to consider more radical, faster changes.

"One of the largest barriers to this effort is the volume focus on imaging and the threat of commoditization," he said. "Compensation and workflow are set up to maximize RVU production, which runs at odds with any VBP strategy."

He proposed several possible actions radiologists might take. Because they are already skilled in informatics, and connected to all specialties, there is the possibility that radiologists could devise best practices to guide population wellness management. Whitfill also advised that radiologists get involved with health system governance to understand VBP issues and challenges better.

This, he said, would be a way for radiologists to help health systems that take on risk-based contracts reduce costs and improve outcomes. Radiologists might even do this themselves under a risk-based scenario, getting paid for each member per month.

"Some radiology practice is going to figure this out," he predicted, noting the alternative is for radiologists to become an outsourced reading service in a future that will include getting compensated as part of bundled payments. "To avoid this kind of result, radiologists need to engage clinicians and patients in a much greater manner."

Business Affairs Homepage

You Must Be Logged In To Post A Comment

Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Gold Service Dealer Program
Receive RFP/PS
Healthcare Providers
See all
HCP Tools
A Job
Parts Hunter +EasyPay
Get Parts
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
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.