July 2012

The fee-for-service payment model has drawn fire in recent years for rewarding volume rather than value. The Relative Value Unit (RVU) that serves as a foundation for many physicians compensation also has landed in the cross hairs of critics who argue its use encourages doctors to perform more procedures, regardless of need. Cardiologists have fared relatively well under this system, but with the growing emphasis on patient-centered and quality care, this payment model likely will change. And so may compensation.

Sometimes the best-intentioned public policy decisions have unintended consequences. Fee-for-service may be a case in point.

Starting a radial program takes forethought and commitment. Three seasoned operators offer guidance for building a successful program.

There are many models and scopes of accountable care organizations (ACO). Addressing standardization obstacles and working toward clinical integration are just two of the challenges standing in the way of success.

Over the past several years, the practice of medicine has faced considerable headwinds. Likewise, cardiovascular imaging has been challenged on a number of different fronts, ranging from growing public concern over radiation exposure, reductions in reimbursement and increased denials by third-party payors.

Many physicians praise vascular closure devices for providing patients comfort and convenience, but they remain skeptical of the devices safety.

Starting this month, California facilities will be required to record dose from every CT study performed. Their peers are watching in anticipation that other states may follow suit.

A cath labs culture plays a key role in staff recruitment and retention. But what contributes to a good or bad culture?

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