Value-based care has spent a decade trying to manage cost and outcomes. One of the most powerful drivers of both has remained largely untouched. We think it's time to have that conversation directly, with the radiologists who understand it best.
Imaging determines whether a patient enters a cascade of follow-ups. It drives biopsies, procedures, and specialty referrals. It surfaces incidental findings that may or may not matter. It quietly dictates billions in downstream spend.
And yet, in most VBC models, imaging is still treated as a transactional input, not a clinical control point. Not because it’s unimportant, but because it’s structurally difficult to integrate.
Nearly every clinical pathway flows through the diagnostic layer, making radiology uniquely positioned to shape decisions, resource utilization, and patient outcomes at scale.
The real barrier isn’t cultural. It’s structural.
Radiologists recommend follow-ups without knowing if they happened. They detect early disease without capturing downstream outcomes. The value gets created and disappears into the system.
Radiology is essential to care, but its contribution is invisible. This leads to underinvestment, misaligned incentives, and missed opportunities to improve patient outcomes.
A system that captures downstream outcomes, closes the feedback loop, and aligns incentives with value.
It maximizes activity.
Not value.
If imaging decisions don’t change:
You cannot manage total cost of care if you don’t manage imaging behavior.
For years, cost reduction has meant doing more with less. Today, forward-thinking organizations are taking a new approach: they’re making radiology’s downstream impact visible.
This isn’t about assigning blame. It’s about demonstrating radiology’s contribution to patient outcomes and participating more directly in the value it creates.
The question is no longer how quickly an image can be read.
The question is what happens after the report is delivered.
This is a forum for ongoing conversations about the future of radiology. Through roundtables, webinars, panel discussions, speaking engagements, podcasts, and published insights, we're creating opportunities for physicians to exchange ideas, challenge assumptions, and explore the forces reshaping the field.
INNOVA Health is a physician staffing company specializing in locum tenens and permanent placement across primary care, hospital medicine, and radiology. We use an AI-powered talent platform and current HR technology to solve complex staffing problems. Data-driven and technology-focused, and we've never lost sight of the fact that it's people who make any of this work.
The clinicians we want to know are the ones thinking about these questions. The roundtable is how we meet them. If there's an opportunity that fits at some point, that conversation happens naturally. We're not going to pretend otherwise, but it's genuinely not the starting point.
If you're a radiologist thinking seriously about where imaging fits in the future of care delivery, DeAndra can tell you more about the roundtable and whether it might be a good fit.
We're in regular conversation with physician-led radiology groups, emerging imaging organizations, and healthcare systems exploring new approaches to care delivery. If you're interested in discussing career options, we'd be happy to learn more about your goals.
Explore OpportunitiesDr. David Gorstein has spent his career at the intersection of diagnostic imaging, clinical innovation, and value-based care. As Partner and Population Health Practice Leader at DRI, he works with healthcare organizations navigating the transition from volume-driven models to those focused on outcomes, quality, and long-term patient impact.
A longtime advocate for the role imaging plays in shaping clinical decisions, Dr. Gorstein brings a unique perspective on how radiology can drive better care, reduce unnecessary downstream costs, and create greater value across the healthcare system.
Through this forum, he is convening physicians, healthcare leaders, and innovators to explore the ideas shaping the future of radiology.
With nearly 20 years in physician recruitment, DeAndra leads INNOVA Health's locum tenens division. She coordinates the roundtable series and serves as the primary point of contact for clinicians who want to learn more or get involved.
Her approach is relational and direct. Every clinician she works with has a single, consistent point of contact from the first conversation through the final day of an assignment.
