White Paper: Corporatization in Radiology

Fleishon, Howard B.; Vijayasarathi, Arvind; Pyatt, Robert S.; Schoppe, Kurt; Rosenthal, Seth A.; Silva, Ezequiel

doi:10.1016/j.jacr.2019.07.003

Cited by 40 publications

(20 citation statements)

References 18 publications

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“…Market conditions could accelerate corporatization trends in radiology 23 as the combination of distressed practices, historically low interest rates, and access to capital create an attractive environment for private equity buyouts. Practices that do survive may more seriously consider true affiliation or merger agreements with large healthcare systems.…”

Section: Radiology Groups Can Obtain Loans Loan Guarantees and Othementioning

confidence: 99%

The Economic Impact of the COVID-19 Pandemic on Radiology Practices

2020

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Section: Radiology Groups Can Obtain Loans Loan Guarantees and Othementioning

confidence: 99%

The Economic Impact of the COVID-19 Pandemic on Radiology Practices

2020

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“…Prior to the pandemic, radiologists saw these entities as having access to capital markets, expertise in consolidation, and stability in a tumultuous radiology market. (15,16) Investors in these private equity firms and/or publicly traded companies own a portion of the practice. These firms re-invest to develop business infrastructure and growth, and in turn receive a portion of profits generated by physician professional activity.…”

Section: Factors Determining the Pandemic Impact On Private Radiologymentioning

confidence: 99%

Special Report of the RSNA COVID-19 Task Force: The Short- and Long-term Financial Impact of the COVID-19 Pandemic on Private Radiology Practices

2021

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Private radiology practices were especially impacted by the COVID-19 pandemic, and the ways they mitigated the impact of the pandemic on their practice will shape the future of radiology. Key Results: 1. The coronavirus disease 2019 (COVID-19) pandemic has resulted in dramatic decreases in examination volumes, of up to 80% in some cases, for private radiology practices that solely depend on revenues from examination interpretation. 2. To survive the pandemic, private radiology practices reflected on their values and priorities to decide which levers to pull to reduce costs, such as decreasing compensation, paid time off, benefits, and hours of work, while increasing work responsibilities. In many cases it is unclear when or if these measures may be returned to the pre-COVID-19 state. 3. The future of private radiology practices will be impacted by the pandemic in that practices are likely to restructure operational policies and business risks to account for potential sudden volume decreases, as were experienced during the pandemic.

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“…Subspecialized radiology has been implemented in academic centers [ 3 ] but also at larger private and public institutions [ 1 ]. Growing radiology networks and teleradiology services are major trends in radiology, which have resulted in significant changes in radiology [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Subspecialized radiological reporting reduces radiology report turnaround time

et al. 2020

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Objectives The objective of this study was to compare the radiology report turnaround time (RTAT) between decentralized/modality-based and centralized/subspecialized radiological reporting at a multi-center radiology enterprise. Methods RTAT values for MRI, CT, and conventional radiography were compared between decentralized/modality-based (04 September 2017–22 December 2017) and centralized/subspecialized radiology (03 September 2018–21 December 2018) reporting grouped into three subspecializations (body radiology, musculoskeletal radiology, and neuroradiology) at eleven sites of a multi-center radiology enterprise. For the objective of this investigation, hospitals were defined as major and minor hospitals. The Mann-Whitney U test served for statistical analyses. Results Change of reporting system from decentralized/modality-based to centralized/subspecialized radiology resulted overall in a significant decrease of the RTAT: from 82 to 77 min for the first signature (p < 0.001), and 119 to 107 min and 295 to 238 min for the second signature (p < 0.001). Subgroup analyses demonstrate a significant decrease of the RTAT for MRI reports (e.g., second signature RTAT, 1051 to 401 min; p < 0.001) and conventional radiographs (e. g., second signature RTAT, 278 to 171 min; p < 0.001). The RTAT at major hospitals decreased from 288 to 245 min (second signature; p < 0.001) while the corresponding RTAT of minor hospitals decreased more remarkably, from 300 to 198 min (p < 0.001). However, the results were heterogenous; in some analyses, the RTAT even increased. The effect size analyses represent small effects. Conclusions Change of reporting system from decentralized/modality-based to centralized/subspecialized radiology was associated with a significant decreased RTAT. Specifically, the RTAT for MRI reports and conventional radiographs was significantly reduced. A pronounced RTAT decrease was observed at minor hospitals.

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White Paper: Corporatization in Radiology

Cited by 40 publications

References 18 publications

The Economic Impact of the COVID-19 Pandemic on Radiology Practices

The Economic Impact of the COVID-19 Pandemic on Radiology Practices

Special Report of the RSNA COVID-19 Task Force: The Short- and Long-term Financial Impact of the COVID-19 Pandemic on Private Radiology Practices

Subspecialized radiological reporting reduces radiology report turnaround time

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