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.
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
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.
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.
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.
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.
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.
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
This study reports that breast cancer screening provides a framework for radiologist-led bundled payment models. Full Article
Hughes, D.R., Jiang, M., McGinty, G.B., Shetty, S., Duszak Jr, R. 2017. "An Empirical Framework for Breast Screening Bundled Payments," Journal of the American College of Radiology, 14(1): 17 - 23.
This paper examines changes in utilization of computed tomography (CT) angiography nationally and changing relative specialty roles in examination interpretation.
Prabhakar, A.M., Misono A.S., Hemingway, J., Hughes, D.R., Duszak Jr, R. 2016. "Medicare Utilization of CT Angiography from 2001 through 2014: Continued Growth by Radiologists," Journal of Vascular and Interventional Radiology, 27(10): 1554 - 1560.