Radiology is a pivotal part of the patient's experience within a healthcare organization and has traditionally embraced new technologies. It is now time to embrace new management methodologies. With the changing winds in reimbursement, activity-based methods (ABC and ABM) will assist us to maximize our resources, reduce costs, and increase our efficiencies to maintain the quality of care. We have embraced new technologies, but we have implemented them on top of old processes. Without embracing new methodologies we may never maximize our new technology.