Transformation of the United States Medical Imaging Industry, 2017

Consolidations, Process Automation, and Emphasis on Interoperability Drive Greater Standardization and Integration of Imaging in Clinical Care Pathways

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The US medical imaging industry is undergoing a transformation with stakeholders across the ecosystem emphasizing collaborative population health-based approaches over conventional episode-based models of care delivery. Current reimbursement and regulatory factors are pushing the imaging industry away from a “get bigger” approach that emphasizes more imaging scans and towards a “get better” approach that emphasizes cost reductions and improved efficiency across the value chain. To this end, the imaging industry seeks to become more patient-centric, prioritizing improved patient experience and empowerment. To succeed in this transition, the imaging industry is moving beyond the modality and focusing on e

Table of Contents

Research MethodologyResearch MethodologyResearch Methodology (continued)Executive SummaryMedical Imaging—A SnapshotMedical Imaging Equipment and Informatics—Outlook The US Medical Imaging Industry—Enablers and Challenges The US Medical Imaging Industry by the NumbersUS Medical Imaging Industry—Snapshot by the NumbersProcedure Volumes Growth ForecastProcedure Volume BreakdownProcedure Volume Breakdown (continued)Snapshot of the Imaging Informatics IndustryUS Medical Imaging Industry—Looking beyond the ModalityDefinition of Key Medical Imaging Informatics Terms Goals of the Medical Imaging Informatics IndustryKey Trends in Medical Imaging Informatics—Cloud ComputingCloud Computing in Medical Imaging—AdvantagesCloud Computing in Medical Imaging—Industry TrendsInteroperability and Free Flow of Data in Medical ImagingAdvantages of InteroperabilityInteroperability—Current ScenarioArtificial Intelligence Artificial Intelligence—Key Terms Artificial Intelligence in Medical Imaging—ApplicationsWill Artificial Intelligence Replace Radiologists?Case Study—IBM Watson and PHMMedical Imaging Industry—Current and Future Impact of Major DisruptorsFactors Disrupting the Medical Imaging Industry CMS Proposes Rollback of Bundled PaymentsValue-based Payments—A Tale of Two RealitiesSite Neutral PaymentsImpact of Site Neutral Payments on Medical ImagingMACRA Payments Overall Impact on the Medical Imaging IndustryNew Market EntrantsCare Provider BudgetsKey Challenges in the Medical Imaging IndustryImaging Ecosystem—Stakeholders Care Providers—Key ChallengesWhat Keeps Care Provider CEOs Awake at Night?Decision Making in Large Hospitals/Health SystemsChallenges Unique to Small and Medium Care ProvidersAddressing Unmet Needs of Small and Medium ProvidersNeed for New Budget Friendly Procurement ModelsOriginal Equipment Manufacturers (OEMs)—Key ChallengesWhat Keeps OEM CEOs Awake at Night?Growing Need for Data in Procurement Decision MakingRadiologists and Radiology Technologists—Key ChallengesWhat Keeps Radiologists Awake at Night?Addressing the Evolving Priorities of Imaging StakeholdersPayers and Regulators—Key ChallengesWhat Keeps Payers Awake at Night?CMS Facing Pushback from Care ProvidersHow the Medical Imaging Industry is Addressing these ChallengesHow is the Industry Addressing These Challenges?Radiologists in Transition—New Roles and Responsibilities New Long-term Risk Sharing Vendor-Customer Enterprise Partnerships New MES and MVS Business Models—DefinitionsMES and MVS Business Models MaturityList of Long-term Risk Sharing Partnerships in the USEnterprise Partnerships—Best Practice Case StudyCast Study—Re-Design of Pediatric Radiology SuiteMES Models for Small and Medium Care ProvidersRadiologist Employment TrendsAmerican College of Radiology (ACR) Survey 2017ACR Survey Trends—Employment by LocationEmployment Trends by Geography and Specialty—2017Current Radiologist Employment by the NumbersRadiology Employment Trends—Future ImplicationsRole and Evolution of Quality Metrics for Reimbursement Quality Metrics in Medical Imaging—Difficult to DevelopSteps in the Metrics Development ProcessUse of Registries for Reporting of Quality MetricsSynergies between Industry and RadiologistsAnalysis of Select Medical Imaging Market ParticipantsPhilips HealthcareGE HealthcareSiemens HealthineersCanon’s Acquisition of Toshiba Yielding DividendsAmbra HealthInteleradIBM Watson HealthFuture of Medical Imaging— Clinical Decision Support (CDS)Clinical Decision Support in Medical ImagingClinical Decision Support—CMS Rollout Delayed Commercially Available Clinical Decision Support SolutionsPersonalized MedicinePersonalized Medicine and Medical ImagingTeleradiologyGrowth in the US Teleradiology IndustryUS Teleradiology—Key Industry TrendsPopulation Health ManagementPopulation Health ManagementPopulation Health Management—Risk StratificationKey Components of PHM in Medical ImagingIndustry Trend—Siemens Healthineers and PHMGrowth Opportunities Growth Opportunities for Care Providers and RadiologistsGrowth Opportunities for Medical Imaging OEMsStrategic Imperatives for the US Medical Imaging IndustryThe Last WordThe Last Word—3 Big TakeawaysLegal DisclaimerAppendixGlossary of TermsMarket Engineering Methodology


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