Specialist
Former C-level executive at Strategic Radiology LLC
Agenda
- Consolidation in the US radiology industry
- Physician staffing needs
- Impact of teleradiology and new technology in radiology industry
- Impact of new regulations such as the Balance Bill legislation
- 12-18-month outlook
Questions
1.
What current themes and trends are you following in the broader radiology sector?
2.
How would you quantify the expected growth in radiology over the next 3-5 years?
3.
Are there any large national radiology players or regional players to highlight, based on their critical mass or size?
4.
Are there any recent or upcoming regulatory changes that you think would have a significant impact on the speciality?
5.
What are your thoughts on teleradiology and how that may affect the sector?
6.
Has there been any trend in the number of physicians entering the workforce post-residency? Is the growth in teleradiology positively impacting the supply of radiologists, or do you anticipate that having a larger impact in the future?
7.
Could you walk through the radiology clinics’ various service offerings and how those translate from a volume and margin perspective?
8.
Are there any other outsourcing trends of note? Are EMR [electronic medical records] or RCM [revenue cycle management] other areas where consolidation could benefit?
9.
Could you discuss and prioritise the importance of radiology clinics and practices’ various KPIs, such as labour cost, patient demographics, geography and EBITDA, etc?
10.
Across all of healthcare we see the trend to shift towards value-based care. How significant is that focus in radiology and is there a greater effort to bundle services as of late?
11.
Concerning consolidation trends in the speciality, what is the consensus for whether radiologists want to affiliate with a larger group or hospital system, or remain in individual private practice, from a physician perspective?
12.
Let’s discuss purchasing power. Is there a true high level of variance of the pricing that a practice can receive on equipment compared to a larger group?
13.
How have payer dynamics historically been split between Medicare, Medicaid and commercial? Do you anticipate any change in reimbursement dynamics moving forward or any impact from increased Medicare Advantage enrolment?
14.
Are there any key teleradiology providers worth highlighting? Is it the typical Rad Partners, Envision and Mednax simply on size or are there other firms focusing entirely on teleradiology?
15.
What is your perception of recent overall annual scan growth? How has that trended over the past few years and how might it trend over the next few years? What are some of the key factors to consider?
16.
What are your thoughts on the projected CMS [Centers for Medicare and Medicaid Services] updated to the 2020 fee schedule, and can you elaborate on surrounding E&M [evaluation and management] codes?
17.
Are there any areas within radiology that you think are important to highlight that could shift the speciality dynamics, apart from teleradiology?
18.
Do you think consolidation will dominate the entire speciality or would there still be room for at least smaller private practices to carve out some market share?
19.
What is your 12-24-month outlook for the radiology market, highlighting some factors we should be keeping our eyes on?
