Predatory Practices in Teleradiology: Fact or Fiction

Diagnostic Imaging | There’s something on most teleradiology professionals’ minds: a recent article titled “Outsourcing to Teleradiology Companies: Bad for Radiology, Bad for Radiologists,” published by the Journal of the American College of Radiology.

The controversial article labels teleradiology as an industry fueled by predatory practices and the displacement of hospital contracts. It goes on to state that radiology groups outsourcing night and weekend call coverage are surrendering the majority of their primary responsibilities as specialty physicians, while contributing to the overall decline of the industry as a whole.

After reading, I thought it would be important to discuss the issues at hand.

As most know, teleradiology was created to serve as a complimentary, value-added service for facilities to help enhance patient care and provide relief to existing staff. Teleradiology was not intended to be influenced by predatory practices, Wall Street, and shareholder wealth. Although a reoccurring theme in this article suggests the opposite, it clearly does not apply to all providers.

Many teleradiology entities do not compete in any way with radiology groups and would not read for independent diagnostic testing facilities or for non-radiologist physicians.

When it comes to radiology physicians “surrendering their responsibilities,” teleradiology providers understand this is not at all the case. High-quality teleradiology practices works seamlessly with on-site radiologists to ensure all responsibilities are met. A good provider also ensures physician-to-physician communication; teleradiologists are immediately available to discuss a case with the referring physician over the phone, and all critical results are called in by the interpreting radiologist. It’s obvious this process assists with the radiology specialty and results in around-the-clock service.

It is evident the authors of this piece failed to recognize the many benefits teleradiology brings to the table. For those lacking extensively trained radiologists, teleradiologists are available to consult and read on cases to assist the group. Teleradiology practices also provide proven, cost-effective technologies and systems to remotely transmit and read images, streamline administrative tasks, and provide other efficiencies that shorten turnaround time and improve quality of care.

Most teleradiology providers are also willing to assist in any way possible, whether a practice needs to support off-site radiologists, centralize work lists, or obtain additional staffing or introductions to other groups to create synergies.

While some teleradiology services make a name for themselves through unprofessional and unethical practices, the majority of providers operate with radiologists and patients in mind. It is these true, customer-driven providers that can, and will, combat the negative influences in the industry by simply staying in tune with their hospital partners and with each other for continuous, value-added service.

Joe Moock is a managing partner at StatRad, a teleradiology solutions provider based in San Diego. The company’s U.S.-trained, board-certified radiologists and staff deliver interpretations and programs aimed at increasing efficiency and improving patient care.

 

Kyle Henneberry, M.D.

Associate Chief Medical Officer
Dr. Kyle Henneberry is a radiologist, health-tech innovator and one of the founders and principals of Direct Radiology. A native of Spokane, Washington, he graduated with honors in Biomedical Engineering from Northwestern University, received his medical degree from Case Western Reserve University in Cleveland, Ohio, and completed radiology residency at the University of Colorado. Dr. Henneberry has United States, Europe, Australia, and New Zealand.

Jerry Lee

Chief Technology Officer

Jerry Lee has over 25 years of experience in healthcare IT. and has been with ONRAD since 2013. As the CTO, he is responsible for developing the organization’s technology strategy including IT infrastructure, application development, data analytics, cybersecurity and overall risk management. Lee’s focus is on strategic road mapping, leveraging emerging technologies and business intelligence to automate, streamline and optimize business processes. He previously worked as a senior healthcare IT consultant, where he implemented best practices, policies & procedures, and risk mitigation strategies for a variety of clients. He also previously worked as the Business Intelligence and Analytics Project Manager for a leading healthcare SaaS organization. He graduated with a B.S. from the University of California, Irvine.

Leandra Hutchinson

President, Direct Radiology

Leandra Hutchinson joined ONRAD alongside the acquisition of Direct Radiology in December 2024. Hutchison has broad experience in the healthcare industry, spending her career in healthcare technology and innovation. Prior to joining Direct Radiology in 2019, Leandra was the co-founder and Vice President of Operations of a health-tech company specializing in radiology analytics and healthcare asset management. Previously, Leandra worked in marketing, strategy, and operations roles for more than 10 years at a $7B integrated delivery system of hospitals and medical centers with more than 900 employed physicians. Hutchison earned her Bachelor’s degree from Kent State University and graduate certificate in health care policy and administration and MBA from the University of Toledo.

Ron Jackson

President, AllRads

Ron Jackson serves as President of AllRads at ONRAD, bringing over 30 years of comprehensive healthcare leadership across the provider, payer, and technology landscape. With deep expertise in radiology, he has spent more than 25 years in revenue cycle management, operations, finance, and practice management roles at leading organizations including HBOC, Per-Se Technologies, McKesson, and Zotec Partners. At ONRAD, Jackson leads day-to-day operations and strategic execution of AllRads, drawing on his cross-functional experience to drive efficiency, scalability, and growth. His 360-degree perspective of the healthcare ecosystem uniquely positions him to align organizational strategy with market dynamics in teleradiology and imaging services.

Alix Vincent, M.D.

Chief Medical Officer

Dr. Alix Vincent was one of the founding physicians at ONRAD. With over 26 years of radiology leadership experience, Dr. Vincent oversees medical staff activities, including patient safety, quality, and risk management initiatives. He manages ONRAD’s Regional Medical Directors, evaluates staff physicians, and drives clinical improvements to enhance physician alignment within the organization. Additionally, Dr. Vincent leads medical operations and played a key role in developing the company’s PACS and RIS Network capabilities. He previously served as Chief Radiologist and Chairman of the Radiology Department at Riverside Regional Medical Center. Dr. Vincent holds an M.D. in Radiology from Loma Linda University.

Lyn Mize

Chief Financial Officer

Lyn Mize serves as Chief Financial Officer at ONRAD, a role she has held since June 2022. With over two decades of experience in financial leadership, Mize has held CFO positions at various healthcare organizations, including Sunset Media Entertainment and Oncology Convergence, Inc. She also served as Vice President of Accounting at Health Choice and System Director of Accounting at Scottsdale Healthcare. Mize has a strong background in financial management, having worked with Banner Health and Greeley Medical Clinic, where she provided financial leadership for multi-specialty clinics and physician networks. Mize holds extensive expertise in driving financial performance and strategic growth across the healthcare sector and has a B.S. from DeVry University and a Masters from Grand Canyon University.

Dave Engert

President & CEO

Dave Engert started at Onrad as President and CEO in 2017. Engert is a seasoned healthcare executive with over 35 years of experience and a proven track record of leading and transforming healthcare technology organizations to drive growth and improve operational and financial performance. He previously served as President and CEO of Nighthawk Radiology, the largest teleradiology provider, and led its successful sale to vRad. Engert also held the role of President and CEO of Quality Care Solutions (QCSI), a leading provider of health insurance software, which was sold to Trizetto. Additionally, he has held leadership roles at McKesson, HBOC, and other notable companies and invested in several healthcare technology ventures. Engert holds a B.S. in Industrial Engineering from Louisiana State University.