title: Concierge and Second-Opinion Radiology: Review of Current Practices.
abstract: Radiology's core assets include the production, interpretation, and distribution of quality imaging studies. Second-opinion services and concierge practices in radiology aim to augment traditional services by providing patient-centered and physician-centered care, respectively. Patient centeredness enhances patients' understanding and comfort with their radiology tests and procedures and allows them to make better decisions about their health care. As the fee-for-service paradigm shifts to value-based care models, radiology practices have begun to diversify imaging service delivery and communication to coincide with the American College of Radiology Imaging 3.0 campaign. Physician-centered consultation allows for communication of evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. There are disparate practice models and payment schema for the various second-opinion and concierge practices. This review article explores the current state and payment models of second-opinion and concierge practices in radiology. This review also includes a discussion on the benefits, roadblocks, and ethical issues that surround these novel types of practices.
authors: Department of Radiology, Henry Ford Hospital, Detroit, MI.
authors: Shehbaz
authors: S
authors: Shaikh
authors: Department of Radiology, Henry Ford Hospital, Detroit, MI.
authors: Rounak
authors: R
authors: Bafana
authors: Department of Radiology, Lucile Packard Children's Hospital at Stanford, Stanford, CA. Electronic address: safwanh@gmail.com.
authors: Safwan S
authors: SS
authors: Halabi
mesh_terms: D000068977:Concierge Medicine / Q000458:organization & administration*; D006801:Humans; D011216:Practice Management, Medical / Q000458:organization & administration*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011871:Radiology / Q000458:organization & administration*; D012017:Referral and Consultation