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The Harvey L. Neiman Health Policy InstituteĀ® 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.Ā Read the 2016 Neiman Institute Annual Report.

An Empirical Framework for Breast Screening Bundled Payments

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.

Medicare Utilization of CT Angiography from 2001 through 2014: Continued Growth by Radiologists

This paper examines changes in utilization of computed tomography (CT) angiography nationally and changing relative specialty roles in examination interpretation. Full Article

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.

Alternative Payment Models in Radiology: The Legislative and Regulatory Roadmap for Reform

This paper describes the recent MACRA legislation, including its impacts on payment, the timeline involved and how organizations, including the ACR, are helping to share its rules and regulations. Full Article

Silva, E., McGinty, G.B., Hughes, D.R., and Duszak Jr, R. 2016. "Alternative Payment Models in Radiology: The Legislative and Regulatory Roadmap for Reform," Journal of the American College of Radiology, 13(10): 1176 - 1181.

Traditional Payment Models in Radiology: Historical Context for Ongoing Reform

This paper provides a detailed historical context for payment reform, focusing on the payment quality initiatives and alternative payment model demonstrations that helped provide the foundation of future MACRA-driven payment reform. Full Article

Silva, E., McGinty, G.B., Hughes, D.R., and Duszak Jr, R. 2016. "Traditional Payment Models in Radiology: Historical Context for Ongoing Reform," Journal of the American College of Radiology, 13(10): 1171 - 1175.

Use of Health Information Exchange and Repeat Imaging Costs

The aim of this study was to quantify the association between health information exchange use and cost savings attributable to repeat imaging. Full Article

Hye-Young , J., Vest, JR., Unruh, MA., Kern, LM., and Kaushal, R. 2015. "Use of Health Information Exchange and Repeat Imaging Costs," Journal of the American College of Radiology, 12(12): 1364 - 1370.

Diagnostic Imaging Services in Magnet and Non-Magnet Hospitals: Trends in Utilization and Costs

The purpose of this study was to better understand trends in utilization and costs of diagnostic imaging services at Magnet hospitals and non-Magnet hospitals. Full Article

Jayawardhana, J., and Welton, J.M. 2015. "Diagnostic Imaging Services in Magnet and Non-Magnet Hospitals: Trends in Utilization and Costs," Journal of the American College of Radiology, 12(12): 1357 - 1363.

Image Sharing Technologies and Reduction of Imaging Utilization: A Systematic Review and Meta-analysis

This study aimed to summarize the impact of image sharing technologies on patient imaging utilization. Full Article

Vest, JR., Hye-Young, J., Ostrovsky, A., Das, L.T., and McGinty, G.B.. 2015. "Image Sharing Technologies and Reduction of Imaging Utilization: A Systematic Review and Meta-analysis," Journal of the American College of Radiology, 12(12): 1371 - 1379.

Changing Utilization Patterns of Cervical Spine Imaging in the Emergency Department: Perspectives From Two Decades of National Medicare Claims

The aim of this study was to assess the changing use of emergency department (ED) cervical spine imaging in the Medicare population. Full Article

Gabriel G., Harkey, P., Hemingway, J., Hughes, D.R., and Duszak Jr, R. 2016. "Changing Utilization Patterns of Cervical Spine Imaging in the Emergency Department: Perspectives From Two Decades of National Medicare Claims," Journal of the American College of Radiology, 13(6): 644 - 648.

The Ongoing Gap in Availability of Imaging Services at Teaching vs. Non-Teaching Hospitals Academic Radiology

This study aimed to characterize associations between availability of imaging services and intensity of teaching among US hospitals. Full Article

Rosenkrantz, A.B., Wang, W., Duszak, R. 2016. "The Ongoing Gap in Availability of Imaging Services at Teaching vs. Non-Teaching Hospitals Academic Radiology," Academic Radiology, 23(8): 1057 - 1063.

Facet Injection Trends in the Medicare Population and the Impact of Bundling Codes

The aim of this study was to evaluate if the CPT code changes correlated with a decreased utilization of facet injections. Full Article

Beckworth, J.W., Jiang M., Hemingway, J., Hughes, D.R., Staggs, D. 2016. "Facet Injection Trends in the Medicare Population and the Impact of Bundling Codes," The Spine Journal, 16(9): 1037 - 1041.