Both posts are spot on. The golden age of radiology was when PACS increased efficiency and groups owning equipment was extremely profitable. Both have been targeted and slashed (death by a thousand cuts for CMS pro-fees)...Future of PP rad is uncertain. Unless group has strong payor mix and/or large hospital subsidization, this is a race to the bottom. Rads employed by HC systems are getting paid what they need in order to maintain recruitment/retainment (in part just using ridiculously high technical fees).