From “Writer Math” by Elissa Bassist in McSweeney’s:

If you think a piece is 100 percent done, it’s actually 45 percent done. To get it to 100 percent done, you can’t.

// 06.12.24

  1. Yes, I’ve started the process of creating a small dedicated job board just for independent radiologist-owned private practices. With all the corporate noise out there, I’m hoping we can connect radiologists looking for the real deal with those groups who are doing it. Still a ways to go, but feel free to reach out to me at if your group is interested, and I’ll get back to you when things are ready.
  2. Separately, yes, for the first time in this site’s 15-year history, I’ve decided to run a real ad. Not a banner ad (and no images), but starting on June 1st, there will be a single monthly post featuring a limited number of true radiology private practices. I’ve temporarily changed this policy because of the radiologist shortage combined with the current less-than-stellar recruitment/marketing environment. I hope folks find it unobtrusive and even helpful; I’ll reevaluate in a year.
// 05.20.24

The tale of case review at Cigna in ProPublica:

“Deny, deny, deny. That’s how you hit your numbers,” said Day, who worked for Cigna until the late spring of 2022. “If you take a breath or think about any of these cases, you’re going to fall behind.”


The early 2022 dashboards listed a handle time of four minutes for a prior authorization. The bulk of drug requests were to be decided in two to five minutes. Hospital discharge decisions were supposed to take four and a half minutes.


As ProPublica and The Capitol Forum reported last year, Cigna built a computer program that allowed its medical directors to deny certain claims in bulk. The insurer’s doctors spent an average of just 1.2 seconds on each of those cases.

// 04.30.24