The impact of value-based care on imaging is expected to be significant. Healthcare organizations will need to manage the quantity of imaging procedures to get the most value out of them.

Value-based care will pay providers a set amount for managing all the care of a population. As a result, previous incentives that rewarded radiologists for doing a quantity of studies will no longer prove profitable.

That’s part of the message behind a session entitled, “Aligning Incentives Along the Imaging Value Chain,” scheduled for 8:30 a.m. Tuesday, December 1, at the RSNA 2015 Conference in Chicago. Session RC332 will feature:

* Geraldine B. McGinty, MD, assistant attending radiologist at New York-Presbyterian Hospital, and assistant professor of clinical radiology at Weill Cornell Medical College, Cornell University.

* Richard Duszak, Jr., MD, professor and vice chair for health policy and practice for the Department of Radiology and Imaging Sciences at Emory University School of Medicine.

* Giles W. Boland, MD, professor of radiology at Harvard Medical School and an associate radiologist in abdominal imaging and intervention, as well as vice chairman of business development in the department of radiology for Massachusetts General Hospital.

Dr. Boland also regularly writes for the Journal of the American College of Radiology on the imaging value chain and changes that will result in the organization and financing of medical imaging as post-Affordable Care Act payment incentives move toward a value basis.

Healthcare reform will particularly affect radiology because of the fragmentation within radiology. “Many providers are focusing more on technology and physician needs, rather than what really matters to patients, which is better value and outcomes,” according to the session description provided by the presenters.
Healthcare reform initiatives create both challenges and opportunities for radiologists to find ways to deliver new value to patients. The American College of Radiology is trying to get ahead of this wave of change by introducing the notion of Imaging 3.0, which it describes as “a call to action to all radiologists to assume leadership roles in shaping America’s future healthcare system.”

The ACR initiative focuses on five key pillars for transitioning imaging services within the country’s new healthcare system: Imaging appropriateness, quality, safety, efficiency and patient satisfaction.

The session by Drs. McGinty, Duszak and Boland will discuss practice changes aligned with Imaging 3.0. These changes are essential to maximize the relevance of radiology and radiologists in ongoing changes occurring within the nation’s healthcare system.

That enhanced value will require modulation of imaging work processes, best understood through the concept of the imaging value chain, which will be the focus of this course, which is part of the Leadership Track at RSNA.

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