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The mission of the Harvey L. Neiman Health Policy Institute® is to establish foundational evidence for health policy and radiology practice that promotes the effective and efficient use of health care resources and improves patient care.

Alternative Health Care Models

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.

July 19, 2016

Data and Analytics: Leveling the New Payment World Playing Field

“Savvy radiologists who avail themselves of [ICE-T] will be prepared to play strong offense not just with joint replacement bundles, but with any inpatient bundled payment initiative CMS throws at them,” says Neiman Institute Affiliate Senior Research Fellow Richard Duszak, MD, FACR. Read More

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.

March 12, 2015

What’s the Value of Value-Based Payments if We Can’t Measure Value?

Aligning with calls by many to abolish fee-for-service as we know it, the Centers for Medicare and Medicaid Services recently announced its target that half of all payments will be quality- or value-based by the end of 2018. It’s a laudable goal, but is it achievable in a world in which no one can agree on how to measure quality and value? Read More

November 7, 2014

Beyond Fee-For-Service: Emerging Payment Models in Radiology

This report highlights two emerging models being developed by the Neiman Institute designed to align provision and payment of specialty care with efforts to ensure a sustainable, high quality health care system.  Read More

Medicare’s Physician Quality Reporting System: Early National Radiologist Experience and Near-Future Performance Projections

The aim of this study was to examine radiologists' experiences during the first four years of Medicare's national physician pay-for-performance program and project near-future program outcomes for radiologists. Full Article

Duszak, R., Burleson, J., Seidenwurm, D., & Silva, E.. 2012. "Medicare’s Physician Quality Reporting System: Early National Radiologist Experience and Near-Future Performance Projections," Journal of the American College of Radiology, 10(2): 114 - 121.