title: Academic radiology in the new health care delivery environment.
abstract: OBJECTIVE
  Ongoing concerns over the rising cost of health care are driving large-scale changes in the way that health care is practiced and reimbursed in the United States.
  
  
  METHODS
  To effectively implement and thrive within this new health care delivery environment, academic medical institutions will need to modify financial and business models and adapt institutional cultures. In this article, we review the expected features of the new health care environment from the perspective of academic radiology departments.
  
  
  CONCLUSIONS
  Our review will include background on accountable care organizations, identify challenges associated with the new managed care model, and outline key strategies-including expanding the use of existing information technology infrastructure, promoting continued medical innovation, balancing academic research with clinical care, and exploring new roles for radiologists in efficient patient management-that will ensure continued success for academic radiology.
authors.affiliation: University of Texas MD Anderson Cancer Center, Department of Radiology, Division of Diagnostic Imaging, 1400 Pressler St., FCT15.6072, Houston, TX 77030-4009. Electronic address: aqayyum@mdanderson.org.
authors.forename: Aliya
authors.initials: A
authors.lastname: Qayyum
authors.forename: John-Paul J
authors.initials: JP
authors.lastname: Yu
authors.forename: Akash P
authors.initials: AP
authors.lastname: Kansagra
authors.forename: Nathaniel von
authors.initials: Nv
authors.lastname: Fischer
authors.forename: Daniel
authors.initials: D
authors.lastname: Costa
authors.forename: Matthew
authors.initials: M
authors.lastname: Heller
authors.forename: Stamatis
authors.initials: S
authors.lastname: Kantartzis
authors.forename: R Scooter
authors.initials: RS
authors.lastname: Plowman
authors.forename: Jason
authors.initials: J
authors.lastname: Itri
mesh_terms: D000046:Academic Medical Centers / Q000191:economics / Q000379:methods*; D060866:Accountable Care Organizations / Q000191:economics / Q000379:methods; D003695:Delivery of Health Care / Q000191:economics / Q000379:methods*; D017048:Health Care Costs; D006801:Humans; D058991:Patient Protection and Affordable Care Act / Q000191:economics; D011871:Radiology / Q000191:economics / Q000379:methods*; D014481:United States
keywords: Accountable care organization; informatics; quality; research; value