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How Radiologists Are Paid: An Economic History, Part III: The Bubble Years.

Authors
  • Levy, Frank1
  • Rosen, Max P2
  • 1 Professor Emeritus, M.I.T. and Department of Health Care Policy, Harvard Medical School, Massachusetts.
  • 2 Chair of Radiology, Department of Radiology, UMass Memorial Medical Center and UMass Medical School, Worcester, Massachusetts. Electronic address: [email protected]
Type
Published Article
Journal
Journal of the American College of Radiology : JACR
Publication Date
Aug 01, 2020
Volume
17
Issue
8
Pages
984–989
Identifiers
DOI: 10.1016/j.jacr.2020.02.012
PMID: 32202253
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

With the collapse of the Clinton health care reforms, advanced imaging entered an economic bubble. Between 1995 and 2006, the number of CT and MRI studies almost tripled, from 21 million to 62 million and from 9.1 to 26.6 million, respectively. The increase reflected increases in both the number of scanners and the number of scans generated per CT or MRI scanner. Without restrictions, the profits generated by CT and MR ownership inevitably spread from hospitals first to imaging centers and later to individual physicians' offices and led to potential for conflict of interest and self-referral. During this time, the increase in radiologists' efficiency was fueled by the conversion from "film" to digitized images and PACS. In conjunction with increased volume and efficiency, radiologists' compensation increased throughout the 1990s. Copyright © 2020 American College of Radiology. Published by Elsevier Inc. All rights reserved.

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