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The answer, it turns out, is still emerging. History may provide an apt starting point.
Specifically, before the fee-for-service era push for maximum productivity and imaging utilization, the core assets of radiology included an understanding of imaging technology, test interpretation and provision of actionable knowledge based on the imaging exam. Radiologists were the doctors’ doctor and were often consulted for many clinical questions; the reading room was a hub of clinical activity.
Fee-for-service reimbursement, coupled with the advent of PACS, relegated radiologists to a smaller, but immensely profitable, role. Radiology thrived. Imaging services were a revenue generator for most hospital enterprises. The radiology department adopted a narrow focus on productivity...