Health system reform is imminent. If you travel anywhere in the United States, you will find physician and patient satisfaction levels decreasing as a result of inconsistent quality, lack of coordinated care and medical liability concerns. Combine these factors with 47 million uninsured Americans, and you have a system primed for reform.

In today’s healthcare reimbursement scene, reimbursement in cardiology per procedure code tends to be declining. Along with flat or declining volumes and increasing overhead costs, many shareholders are experiencing a downslope in income. Thousands of dollars can be recouped, as well as costly penalties avoided, by paying close attention to billing and coding.

Today’s uncertain healthcare environment has spurred a new wave of medical practice buy-outs, mergers and purchases. Cardiology practices, which were previously perceived as being impervious to purchase offers by hospitals, are now becoming targets for purchase.

St. David’s HealthCare, along with Texas Cardiac Arrhythmia, hasdeveloped the Texas Cardiac Arrhythmia Institute (TCAI) at St. David’sMedical Center in Austin.

Biting the bullet on a new purchase is always an uncertain proposition, especially in a volatile market. Practices need to learn about the market, weigh the pros and cons of leasing and purchasing and consider competition, reimbursement and regulations.

The intricacy of the business of medicine mandates that leaders pay attention to the smallest details of every aspect of cardiovascular treatment and care. While the articles in this issue span the gamut of cardiovascular imaging, informatics, and management, they have one thing in common: they drill down into the fundamentals of good business practices and sound financial planning.

Insurers and the government may not be on board, but the medical community sure is: when it comes to improving patient care, cardiac CT is a must-have technology. 

Numerous radiology groups are currently discussing arrangements whereby cardiologists and the radiologists would essentially split the responsibilities for reading coronary CT angiography (CCTA) studies. Most commonly, as proposed, the cardiologists would read and generate a signed interpretation report, but limited to the cardiac portion of the