Baseball and college hoops. Healthcare policy idealist and realist. Past and present Blue Devil. Tweets are my own and do not represent Duke or the ACR.

Joined September 2009
🚨 100+ Kansas Republicans just launched Republicans for Hamilton, a statewide coalition backing Adam for U.S. Senate. The list includes former governors Bill Graves and Mike Hayden, a former Senate President, a former House Majority Leader, and Roger Marshall’s primary opponent.
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"The George Brett Vision Test." In 1985, the Missouri Driver's License Bureau issued George Brett his drivers license without requiring him to take the vision test. According to a Missouri State official: "If he can hit .390, we figured he could see."
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AI is changing radiology. The question is: Are you ready to lead what comes next? 📍 2026 RLI Summit - Atlanta 📅 Oct. 16–18 🧠 Hands-on workshops + nationally recognized radiology leaders 🙋‍♀️ And I’ll be there! If you want to do more than just talk about the future of radiology, come help build it. Who’s joining me in Atlanta? 👇 shorturl.at/EfFo2 @RichDuszak @RobOpticanMD @RadiologyACR
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CMS looked at AI tools in radiology and essentially said: "You're more efficient now. So we're cutting your pay." 🤯 The Efficiency Adjustment Delay Act would block that 2.5% reduction until 2030 — and require actual empirical evidence before future AI-based cuts. This gives @RobOpticanMD flashbacks to the bundling debacle 👀 Listen to the full episode and get your FREE CME: shorturl.at/RFm04 #Radtwitter #Medtwitter @DukeRadiology @DukeRadCTI
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📌the ROOT Act proposes a better way forward than PAMA: retrospective audits instead of point-of-care chaos. @RobOpticanMD made a compelling case that this is one of the rare policy asks that actually saves the federal government money. ACR CEO @DSmethermanMD has already testified before the relevant House committee. Still in committee. Worth watching 👀. Listen to the full episode: shorturl.at/lAy15 #Radres #Radiology #Radtwitter #Medtwitter
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There are 1,000+ FDA-cleared AI tools in radiology. Almost none of them have reimbursement pathways. Hospitals can't justify the investment. Vendors can't sustain development. CMS wants real-world data that can't exist without adoption. 🤖The Health Tech Investment Act is trying to break that loop. Listen to the full episode now for your free CME: shorturl.at/lAy15 #Radiology #Radres #Medtwitter #Radtwitter @RobOpticanMD
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Radiology didn't sign up to be America's healthcare guinea pig. And yet...here we are. 💰Congress is deciding whether AI gets reimbursed. 🏥 CMS is deciding whether AI means physicians should be paid less. 🤖 States are deciding whether AI can help deny patient care. @RobOpticanMD joins us to unpack the 6 legislative and regulatory issues that could shape the future of radiology. FREE CME!! 🎧Listen now: shorturl.at/lAy15
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Everyone wants reimbursement for AI - but the question is whether we can prove it at scale. 🎙️ @RobOpticanMD explains why the @ACRDataSci could be one of the most important organizations in radiology's AI future. 👀 Full episode of ✨Contrast & Clarity✨ drops this weekend featuring the 6 healthcare policy battles that could shape the future. And yes, this one matters more than most people realize.🔥 #Radiology #Radtwitter #Medtwitter #Radres @DukeRadiology @DukeRadCTI
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