Diagnostic Imaging Solutions Banner

Specializing In Digital Radiography Systems

SEARCH

440.940.5040


VOICE/FAX




Med Industry Blog



How To Plan For Diagnostic Imaging Expansion With Healthcare Programs Being Uncertain

March 31, 2014

Medical facilities are struggling to determine how to accommodate the uncertainty surrounding our current healthcare dilemma. The Affordable Care Act (ACA) was established to increase the number of people who would be insured to receive healthcare benefits, by as many as 30 million people, thereby increasing demand for diagnostic imaging services. However, the initial enrollment for these benefits have been somewhat disappointing with less than six million people applying, of which many have yet to obtain confirmed coverage and a substantial number of these people are switching from existing coverages they already had, but were canceled and forced to enroll under the new program. The net gain of new and previously uninsured enrollees unknown, but we can safely assume these numbers are very low. Therefore, how do we determine if diagnostic imaging demand will increase or reduce? And how should we plan to accommodate this uncertainty?

We also must consider the reduction in reimbursements for most diagnostic procedures. The ACA has established procedure guidelines and acceptable reimbursements schedules. These reimbursement schedules are also being adopted by public and private insurance providers as well. There would be no reason for them to provide coverages that exceed those mandated by government. Now we have to ask ourselves that if we reduce the number and kinds of tests we perform and then find a way to provide them at a lower cost are we still offering the level of healthcare that is necessary to maintain the best available healthcare in the world? And will this result in an increase or decrease of required resources?

Another dilemma appears to be the continued decrease of available physicians. Reductions in Medicare and Medicaid reimbursements for physician services has also decreased. Combine those decreases with reductions that private and public insurance carriers have implemented and a significant number of physicians have opted for early retirement or alternative professions. Does the reduced number of available doctors effect the need to have additional testing available as remaining doctors are overloaded and can not spend sufficient time with patients to determine the most effective diagnosis?

The solutions are complicated and no one really knows where this will end but we can make some good calculated guesses. Firstly, if those who have lost insurance coverage are able to enroll and get coverage, the net loss to that group is minimal. If some that were not insured, now are, a slight gain may be experienced. Therefore, when evaluating the potential gain or loss of patients, we might assume the numbers don't change all that much (even though they were suppose to). Reimbursements are reducing, but if other costs, such as the lower cost of living, stable taxes and reduced equipment costs through enhanced technology reduced reimbursements may be survivable. Lastly, the increase of Physician Assistances and Professional Nurse Practitioners may accommodate for the reduction of available physicians.

The bottom line is, make good business decisions when acquiring systems based upon historical numbers which don't seem to be changing much in spite of what we have changed and how things are now being done.

Contact us for additional information.

Med Imaging System Sales       www.missales.com

NCD Medical Company             www.ncdmedical.com


Med Industry Blog

Recent Postings

Nov 8, 2016
"Affordable" Care Act - Isn't. How will it effect the Healthcare Industry

The Affordable Care Act (aka Obamacare) was passed in March of 2010 contrary to the wishes of the general population. The majority of people were not in favor of this program but the Democratic Congress and President Obama found away to get it passed.

Read Full Article

May 5, 2016
2016 DIGITAL RADIORAPHY (DR)

The transition away from x-ray film and Computer Radiography (CR) to Digital Radiography (DR) is advancing rapidly. There are a number of reasons DR is quickly becoming the x-ray digital output of choice.

Read Full Article

March 31, 2014
How To Plan For Diagnostic Imaging Expansion With Healthcare Programs Being Uncertain

Medical facilities are struggling to determine how to accommodate the uncertainty surrounding our current healthcare dilemma. The Affordable Care Act (ACA) was established to increase the number of people who would be insured to receive healthcare benefits, by as many as 30 million people, thereby increasing demand for diagnostic imaging services.

Read Full Article

October 9, 2013
Which C-Arm Should I Buy?

Today you can be faced with many choices when deciding to purchase a mobile c-arm. Although most are appropriate for the majority of procedures, some may be particular good for the procedures you perform. Of course, the first consideration must be financial.

Read Full Article

February 8, 2013
DR Digital X-Ray Prices Finally Low Enough To Compete With CR

Direct Digital Radiography (DR) traditionally have been priced so high that only large medical facilities could afford to install them. The alternative for digital x-ray output has been Computer Radiography (CR).

Read Full Article

Nov. 23, 2012
Demand For Diagnostic Imaging Systems Growing Rapidly In Africa, The Middle East And Eastern Europe - Will The Systems Be Purchased?

The demand for medical facilities and related diagnostic imaging systems is growing at a tremendous rate. There is a strong need for x-ray and fluoroscopic systems as well as CT, MRI and ultrasound systems.

Read Full Article

Aug. 8, 2012
INTERNATIONAL MEDICAL
MARKETS

I recently received an email from a physician in India. He had been residing in the United Kingdom for several years and had returned to his home land. He contacted me because he was interested in developing a new business of selling and supporting pre-owned diagnostic imaging systems to facilities throughout India.

Read Full Article

How To Safely Buy Pre-Owned Medical Systems
August 8, 2011

Very often there is a need to acquire additional capability in our health care facilities but there isn't always the funds to purchase a new, full-functioned, state of the art, diagnostic imaging system. Therefore, a decision must be made to determine if the additional services can be shifted to another facility or if it is critical or at least necessary to remain at your facility. The decision usually comes back that it needs to remain and options to accommodate it must be considered.

Read Full Article
As Featured On EzineArticles
July 17, 2011
Digital Radiography - Electronic X-Ray - When, Why and How?

It seems like we have crossed the healthcare frontier and the only thing left to conquer is analog or film based x-ray systems. MRI's, CT's, Ultrasound, PET, Bone Densitometry, Mammography and most diagnostic imaging systems output digital data, that is except for Radiography and Fluoroscopy. Most existing systems are still analog and put out either x-ray film and/or analog video. Although most mobile C-arms are now being produced with digital output capability, most existing C-arms, X-ray systems and R/F systems have not yet been upgraded. When you consider that today there are more x-ray studies done than any other modality study, we should concede, we are way overdue in moving to electronic Rad and Fluoro. These upgrades should probably be initiated before all others at medical facilities today.

Read Full Article
How To Get The Most From Your Radiology Dollar
June 3, 2011

The decisions are getting harder when we try and determine what our facility should invest in to provide the best patient care. 256 slice CTs, 3.0T MRIs, Digital Mammography, PACS Upgrade, EHR and so on....? We first try and determine our available budget or we are asked to submit a request for funds based upon current and future requirements, local competition and/or physician requirements. It is now necessary to take a long hard look at what is currently being utilized and determine how best to enhance capabilities. You probably begin to bring in vendors to discuss the capabilities of their new systems, as well as potential costs. If you are like many administrators, you immediately get a large blast of reality $$$$$$$. You instantly know that you will be limited to one purchase or less and it's possible funding won't be available for several years. If you are experiencing growth, patient count is increasing, test procedures are on the increase, and avaliable system time is becoming harder and harder to come by, then you know you will need to upgrade Radiology capacity.

Read Full Article