caa a22 4500 477079512 CHVBK 20180405111446.0 cr unu---uuuuu 170330e19961101xx s 000 0 eng 10.1007/BF01548184 doi (NATIONALLICENCE)springer-10.1007/BF01548184 Off-site real-time review of remote ambulatory care obstetric and gynecologic ultrasound examinations: Implications to radiologists for managed care contract negotiations [Elektronische Daten] [Ben Harmon, Dean Maglinte] We present a cost comparison of contracts to provide obstetric and gynecologic ultrasound (US) services to a managed care provider group (MCPG) and discuss the long-term implications of off-site monitoring of US procedures by video/voice technology to radiologists in competing for managed care contracts. During a 19-month period, 1,741 ultrasound examinations were performed for a MCPG in a clinic located 7 miles from our institution. The costs of different arrangements to provide this service and a 5-year cost analysis are provided. Based on the reported obstetric and gynecologic US caseload, annualized first year cost to the MCPG under the current contract was $183,945, compared with $252,000 under a prior contract. Without a contract, the cost would be $325,907. Our analysis shows that the use of the citywide fiberoptic network for remote monitoring of US examinations enables US radiologists to compete for managed care contracts and provides cost savings to payors. American Society of Emergency Radiology, 1996 Ultrasound nationallicence Telemedicine nationallicence Feasibility nationallicence Managed care nationallicence Financial analysis nationallicence Harmon Ben Department of Radiology, Methodist Hospital of Indiana, 1701 North Senate Boulevard, 46206, Indianapolis, Indiana aut Maglinte Dean Department of Radiology, Methodist Hospital of Indiana, 1701 North Senate Boulevard, 46206, Indianapolis, Indiana aut Emergency Radiology Springer-Verlag 3/6(1996-11-01), 281-284 1070-3004 3:6<281 1996 3 10140 https://doi.org/10.1007/BF01548184 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01548184 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Harmon Ben Department of Radiology, Methodist Hospital of Indiana, 1701 North Senate Boulevard, 46206, Indianapolis, Indiana aut NATIONALLICENCE 700 1- Maglinte Dean Department of Radiology, Methodist Hospital of Indiana, 1701 North Senate Boulevard, 46206, Indianapolis, Indiana aut NATIONALLICENCE 773 0- Emergency Radiology Springer-Verlag 3/6(1996-11-01), 281-284 1070-3004 3:6<281 1996 3 10140 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer