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The Harvey L. Neiman Health Policy Institute® studies the value and role of radiology in evolving health care delivery and payment systems, including quality based approaches to care and the impact of medical imaging on overall health care costs. Neiman Institute research provides a foundation for evidence-based imaging policy to improve patient care and bolster efficient, effective use of health care resources. Read the 2016 Neiman Institute Annual Report.

Downstream Imaging Utilization After Emergency Department Ultrasound Interpreted by Radiologists Versus Nonradiologists: A Medicare Claims–Based Study

This paper studied differences in imaging utilization downstream to initial emergency department (ED) ultrasound examinations interpreted by radiologists versus nonradiologists. Full Article

Allen, B., Carrol, L.V., Hughes, D., Hemingway, J., Duszak, R., and Rosenkrantz, A.B. 2017. "Downstream Imaging Utilization After Emergency Department Ultrasound Interpreted by Radiologists Versus Nonradiologists: A Medicare Claims–Based Study," Journal of the American College of Radiology, 14(4): 475 - 481.

How Satisfied Are Patients With Their Radiologists? Assessment Using a National Patient Ratings Website

This study assessed features of patient satisfaction scores for U.S. radiologists using a popular physician rating website. Full Article

Rosenkrantz, A.B., Ginocchio, L., and Duszak Jr, R. 2017. "How Satisfied Are Patients With Their Radiologists? Assessment Using a National Patient Ratings Website," American Journal of Roentgenology, 208(5)

Temporal and Patient Variations Potentially Impacting New Payment Models

This study evaluates the impact of an array of nongeographic patient and within-year temporal factors on variation in Medicare imaging utilization. Full Article

Rosenkrantz, A.B., Schoppe, K.A., and Duszak, R. 2017. "Temporal and Patient Variations Potentially Impacting New Payment Models," Journal of the American College of Radiology, 14(4): 452 - 458.

MACRA, Alternative Payment Models, and the Physician-Focused Payment Model: Implications for Radiology

This paper suggests that patient-focused physician models provide a compelling opportunity for radiologists to demonstrate and be rewarded for their unique contributions toward patient care, and may foster greater radiologist participation in APMs under MACRA. Full Article

Rosenkrantz, A.B., Nicola G.N., Allen, B., Hughes, D.R., and Hirsch, J.A. 2017. "MACRA, Alternative Payment Models, and the Physician-Focused Payment Model: Implications for Radiology," Journal of the American College of Radiology

Nonresearch Industry Payments to Radiologists: Characteristics and Associations With Regional Medical Imaging Utilization

This study evaluates characteristics of nonresearch industry payments to radiologists and associations with regional diagnostic imaging utilization. Full Article

Kokabi, N., Junn, J.C., Xing, M., Hemingway, J., Hughes, D.R., and Duszak, R. 2017. "Nonresearch Industry Payments to Radiologists: Characteristics and Associations With Regional Medical Imaging Utilization," Journal of the American College of Radiology, 14(3): 418 - 425.

The Proposed MACRA/MIPS Threshold for Patient-Facing Encounters: What It Means for Radiologists

This report found that CMS’ proposed criteria for special considerations in new payment models would result in many radiologists being evaluated using measures not reflective of their practice. Full Article

Rosenkrantz A.B., Hirsch J.A., Allen B. Jr., Wang W., Hughes D.R., Nicola G. 2017. "The Proposed MACRA/MIPS Threshold for Patient-Facing Encounters: What It Means for Radiologists," Journal of the American College of Radiology, 14(3): 308 - 315.

MACRA, MIPS, and the New Medicare Quality Payment Program: An Update for Radiologists

This report provides an overview of CMS’ proposal for implementing MACRA legislation via the new QPP, paying specific attention to the implications and imperatives for radiologists under MIPS. Full Article

Rosenkrantz, A.B., Nicola G.N., Allen, B., Hughes, D.R., and Hirsch, J.A. 2017. "MACRA, MIPS, and the New Medicare Quality Payment Program: An Update for Radiologists," Journal of the American College of Radiology, 14(3): 316 - 323.

The Impact of State Tort Reforms on Imaging Utilization

This study reports that state tort reform has been associated with a decrease in physician ordering of radiographs. Full Article

Li, S., Dor, A., Hughes, D.R., and Deyo, D. 2017. "The Impact of State Tort Reforms on Imaging Utilization," Journal of the American College of Radiology, 14(2): 149 - 156.

Enteral Access Procedures: An 18-Year Analysis of Changing Patterns of Utilization in the Medicare Population

This paper evaluates national trends in enteral access and maintenance procedures for Medicare beneficiaries with regard to utilization rates, specialty group roles, and sites of service. Full Article

Wan, W., Misono A.S., Hawkins, C, M., Hemingway, J., Hughes, D.R., Duszak Jr, R. 2017. "Enteral Access Procedures: An 18-Year Analysis of Changing Patterns of Utilization in the Medicare Population," Journal of Vascular and Interventional Radiology, 28(1): 134 - 141.

Modeling and Designing Health Care Payment Innovations for Medical Imaging

This paper specifically studies the Medicare Shared Savings Program (MSSP) for Accountable Care Organizations (ACOs) and determines how this incentive program affects computed tomography (CT) use, and how it could be redesigned to minimize unnecessary CT scans. Full Article

Zhang, H., Wernz, C., Hughes, D.R. 2016. "Modeling and Designing Health Care Payment Innovations for Medical Imaging," Health Care Management Science