When Bibb Allen, M.D., surveys the imaging landscape, he sees a pockmarked fiscal terrain. Currently serving as vice chair of the American College of Radiology's Board of Chancellors, the 21-year industry veteran says a combination of factors is putting unprecedented economic pressure on imaging.

The Centers for Medicare and Medicaid Services has been cutting reimbursement for radiology services since the Deficit Reduction Act in 2006, he says, with reimbursements for some studies declining by 50 percent since the act and six subsequent CMS cuts.

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