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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.

Alternative Health Care Models

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.