Jim Koger, Vice President, Avalon Healthcare Solutions, is an experienced healthcare product manager dedicated to enhancing access to affordable care through the development of innovative specialty benefit management solutions. He emphasizes the importance of advancing routine diagnostics within the realms of laboratory testing and radiology.
Mark Hiatt, MD, MBA, MS, a consultant with Avalon Healthcare Solutions, is a Stanford-fellowship-trained radiologist with a career spanning leadership roles in a radiology department, health system, radiology benefit management firm, health plan, and radiology accreditation body. He has developed programs to ensure the appropriateness, quality, and cost-effectiveness of medical imaging and advises companies on optimizing clinical validation and market access strategies. He champions evidence-based imaging management to support quality and sustainability.
Managing routine radiology does not require the administrative burden of prior authorization. Instead, health plans can implement post-service, pre-payment automated management based on clinical guidelines.