Voices of Experience · Podcast
Season 2September 2025

Hospital Relationships

Radiology used to arrive free at the hospital door. Post-COVID economics ended that, and the stipend conversation is now a negotiation.

Hosted by Dianne Keen  ·  with Jonathan Pine, Healthcare Leader
Guest
Jonathan Pine
Jonathan Pine
Healthcare Leader
The takeaway

Hospitals are hearing this ask from every department at once. The practice that arrives with its own numbers is the one that gets heard.

Free
What radiology cost the hospital before COVID
ER, anesthesia
Specialties hospitals were already used to paying
Facts, not feelings
The standard for walking into that meeting
Outside eyes
For a practice that has looked at itself too long
About this episode

Asking a hospital partner for support, and being ready when you do

In this episode, Dianne Keen is joined by healthcare leader Jonathan Pine for a discussion on the evolving relationship between radiology practices and their hospital partners. They explore the shifting dynamics that began post-COVID, when radiology groups, once operating independently without hospital funding, now face declining reimbursements, increasing workloads, and a tightening labor market. The conversation unpacks the growing need for hospital stipends to sustain quality patient care and attract top radiology talent, especially in interventional radiology, which often anchors a hospital contract. Topics include fair negotiation strategies, leadership readiness, and the role of outside consultants in preparing practices for these critical conversations

This episode offers practical guidance on transparency, data-driven asks, and strengthening collaborative partnerships to ensure radiology groups remain viable, valued contributors within their health systems

In this episode

Four things worth your time

Why the Dynamic Changed: How radiology went from a service hospitals received at no cost to one that needs support, why the shift accelerated after COVID, and why other hospital-based specialties were already being paid.
What a Stipend Actually Covers: The gap between falling reimbursement and the cost of recruiting radiologists in a short market, and what practices are really asking a hospital partner to fund.
Do the Self Assessment First: Where leaders who have never made this ask should start, what due diligence looks like, and when bringing in outside help is simply the faster route.
Facts, Not Feelings: Who belongs at the table on both sides, what data to bring, and why transparency matters when radiology is not the only department asking.

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