A thought leadership series for radiologists

Imaging has been missing from value-based care.That needs to change.

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.

About the Roundtable The Perspective
A message from
David Gorstein, MD
Partner, Practice Leader Population Health
Watch the video
~57%
of radiology follow-up recommendations go untracked or uncompleted without an active system in place
11–21%
of all radiology reports contain follow-up recommendations, a significant but largely invisible care gap
$0
attributed back to radiology for the downstream cost savings or costs it drives
"You cannot manage total cost of care if you don't manage imaging behavior."
David Gorstein, MD  |  INNOVA Health
The Perspective

Imaging shapes clinical decisions. The VBC model hasn't caught up.

Imaging doesn't just reflect clinical decisions. It drives them.

  • It 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.

Nearly every clinical pathway flows through the diagnostic layer, making radiology uniquely positioned to shape decisions, resource utilization, and patient outcomes at scale.

The Core Problem

Radiology creates value it cannot currently prove.

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. Any serious proposal has to start here, not with accountability or risk-sharing, but with visibility.

Visibility comes before accountability.
Most VBC proposals jump straight to risk-sharing and new payment models, skipping a foundational step: making radiology’s downstream impact visible. Without that, there’s nothing to build on.
The objections are valid.
“You’re measuring me on things I don’t control.” That’s not resistance. That’s a rational response to a broken incentive structure. Any model that doesn’t solve this dies on arrival.
A solvable problem, from the right starting point.
Once visibility exists, attribution becomes possible. Once attribution exists, alignment follows. The path is clear. What’s been missing is the willingness to start at the right layer.
The Path Forward

From invisible contributor to accountable partner.

01
Visibility
Surface what happens after the report. Follow-up completion, actionable findings, outcomes connected to imaging decisions.
02
Attribution
Connect radiology's role in early detection, avoided downstream costs, and care gap closure to measurable outcomes.
03
Alignment
New models become possible. Shared savings, quality-linked contracts, care gap closure incentives tied to real performance.
04
Transformation
Radiology as clinical decision stewardship. An integrated partner in longitudinal care, not an isolated reporting function.
The Roundtable Series

Built for meaningful and timely dialogue.

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.

🎙
Format
Virtual discussions bringing together radiologists, healthcare leaders, and innovators. Facilitated by Dr. David Gorstein.
📄
Output
Key themes, emerging ideas, and practical insights are synthesized and shared to help advance broader conversations across the radiology community.
👥
Participants
A diverse mix of physicians, healthcare leaders, innovators, and industry experts contributing to the evolving conversation around imaging and patient care.
💡
Independent Perspective
Conversations are guided by curiosity, experience, and a shared commitment to improving patient care. The goal is thoughtful exploration of the opportunities and challenges facing radiology today.
Virtual physician roundtable
Why We're Doing This
"Research advances the field. Conferences bring people together. But many of the ideas that ultimately shape practice begin as conversations between physicians willing to ask difficult questions and exchange perspectives honestly. We're creating a place for more of those conversations to happen."
Who We're Looking For
  • Radiologists thinking seriously about overdiagnosis, appropriateness, or imaging's role in population health
  • Clinicians who have pushed back on volume-driven models and want to think through alternatives
  • People curious about where VBC is headed and what it means for the specialty long-term
  • Physicians willing to say something direct in a room full of peers
INNOVA Health
About INNOVA Health

Nearly 20 years in. Still out ahead.

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.

We listen first.
We can't place you well without knowing what actually matters to you. Clinical scope, schedule, how you want to practice long-term. Share that with us and we do the rest. Every clinician relationship is managed by a single partner, start to finish, no handoffs.
We lead by staying ahead.
We've been in this industry long enough to know that standing still is the fastest way to fall behind. Our technology is constantly being challenged to do better. That edge belongs to the clinicians and organizations we work with.
We solve, or we haven't done our job.
If we don't solve the problem the first time, we haven't lived up to what we stand for. The goal isn't to fill a role. It's to get the right person into the right situation, and make sure both sides feel that way.
Who's Behind This

The people running the conversation.

David Gorstein MD
David Gorstein, MD
Series Host & Facilitator
Partner, Practice Leader Population Health
David trained as a radiologist and has spent years at the intersection of value-based care and healthcare delivery. He's interested in honest conversations about where the specialty is going, what the structural barriers actually are, and what it will take to move past them.
BIO
DeAndra Harmony
DeAndra Harmony
Series Facilitator & Division Leader
Division Lead, Physician & APP Locum Tenens
With nearly 20 years in physician recruitment, DeAndra leads INNOVA Health's locum tenens division. She coordinates the roundtable series and is the primary point of contact for clinicians who want to learn more or get involved.
BIO

This is a conversation
worth being part of.

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.

Book Time with DeAndra Send a Message
dharmony@innovapeople.com  |  216.290.2775  |  innovahealth.us
Career Opportunities

Interested in learning about current radiology opportunities?

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 Opportunities
Series Host & Facilitator

David Gorstein, MD

Dr. 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.

Series Facilitator & Division Leader

DeAndra Harmony

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.