Value-based reimbursement: Impact of curtailing physician autonomy in medical decision making

Dipti Gupta, Ingolf Karst, Ellen B. Mendelson*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations


OBJECTIVE. In this article, we define value in the context of reimbursement and explore the effect of shifting reimbursement paradigms on the decision-making autonomy of a women's imaging radiologist. CONCLUSION. The current metrics used for value-based reimbursement such as report turnaround time are surrogate measures that do not measure value directly. The true measure of a physician's value in medicine is accomplishment of better health outcomes, which, in breast imaging, are best achieved with a physician-patient relationship. Complying with evidence-based medicine, which includes data-driven best clinical practices, a physician's clinical expertise, and the patient's values, will improve our science and preserve the art of medicine.

Original languageEnglish (US)
Pages (from-to)276-279
Number of pages4
JournalAmerican Journal of Roentgenology
Issue number2
StatePublished - Feb 2016


  • Breast cancer screening
  • Breast imaging
  • Outcome metrics
  • Physician autonomy
  • Value
  • Value-based reimbursement
  • Women's imaging

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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