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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.

Health Policy

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.

Identifying Patients With Undiagnosed Chronic Conditions: An Examination of Patient Costs Before Chronic Disease Diagnosis

This study assesses if identifying chronic conditions at earlier stages could produce dramatic savings to the health care system. This study sought to determine whether patients with chronic conditions experienced higher medical costs and imaging costs than patients with nonchronic conditions before the onset of chronic disease. Full Article

Deyo, D., Hemingway, J., and Hughes, D.R. 2015. "Identifying Patients With Undiagnosed Chronic Conditions: An Examination of Patient Costs Before Chronic Disease Diagnosis," Journal of the American College of Radiology, 12(12): 1388 - 1394.

March 7, 2016

How Many Medicare Enrollees? CMS Methodological Changes and Implications for Research

Recent changes in how CMS reports the number of Medicare enrollees highlights the difficulties in performing consistent and transparent studies even when using the best data available. Read More

December 16, 2015

Neiman Imaging Types of Service (NITOS)

Neiman Imaging Types of Services (NITOS) codes provide a variable that can be merged into datasets by HCPCS code to identify imaging procedures by modality and anatomic site. This new coding system augments the existing BETOS system for imaging focused studies, and was designed to be usable either in conjunction with or in lieu of BETOS for imaging analyses. Read More

How Much do Common Imaging Studies Cost? A Nationwide Survey of Radiology Trainees

This study gauges the knowledge of radiology trainees regarding the costs of common imaging services and to assess their perceptions of current relevant education. Full Article

Vijayasarathi, A., Hawkins, C.M., Hughes, D.R., Mullins, M.E., and Duszak Jr, R. 2015. "How Much do Common Imaging Studies Cost? A Nationwide Survey of Radiology Trainees," American Journal of Roentgenology, 205(5): 929 - 935.

Screening Mammography Rates in the Medicare Population Before and After the 2009 U.S. Preventive Services Task Force Guideline Change: An Interrupted Time Series Analysis

This study examines longitudinal trends in screening mammography utilization and the presence of any changes in utilization associated with the 2009 U.S. Preventive Services Task Force (USPSTF) guideline change. Full Article

Jiang M., Hughes D.R., & Duszak Jr. R.. 2015. "Screening Mammography Rates in the Medicare Population Before and After the 2009 U.S. Preventive Services Task Force Guideline Change: An Interrupted Time Series Analysis," Women's Health Issues, 25(3): 239 - 245.

Perspectives on the Value of Advanced Medical Imaging: A National Survey of Primary Care Physicians

This study assess the perceptions of primary care physicians about the value of advanced medical imaging. Full Article

Hughes, C. M., Kramer, E., Colamonico, J., & Duszak, R.. 2015. "Perspectives on the Value of Advanced Medical Imaging: A National Survey of Primary Care Physicians," Journal of American College of Radiology, 12(5): 458 - 462.

A Comparison of Diagnostic Imaging Ordering Patterns Between Advanced Practice Clinicians and Primary Care Physicians Following Office-Based Evaluation and Management Visits

This study compares the utilization of diagnostic imaging between advanced practice clinicians - specifically nurse practitioners and physician assistants - and primary care physicians. Full Article

Hughes, D.R., Jiang, M., Duszak, R. 2015. "A Comparison of Diagnostic Imaging Ordering Patterns Between Advanced Practice Clinicians and Primary Care Physicians Following Office-Based Evaluation and Management Visits," JAMA Internal Medicine, 175(1): 101 - 107.

January 13, 2015

The Cost of Thrift: Utilization of Imaging by Advanced Practice Clinicians

In his popular tome, Innovator’s Prescription, Clayton Christensen proposes several cures to healthcare’s cost disease, known as disruptive innovations. One is the replacement of physicians by advanced practice clinicians (APCs). That is by nurse practitioners and physician assistants. APCs meet the requirements for Christenson’s disruptive innovators: they cost less (than physicians) and are good enough. Read More

Recent Trends in Adherence to Continuous Screening for Breast Cancer Among Medicare Beneficiaries

This study examines recent trends in adherence to continuous screening, especially the rate of subsequent screening mammography following an initial screening before and after the U.S. Preventive Services Task Force (USPSTF) revised its guidelines on breast cancer in November 2009. Full Article

Jiang, M., Hughes, D. R., Appleton, C. M., McGinty, G., & Duszak, R.. 2015. "Recent Trends in Adherence to Continuous Screening for Breast Cancer Among Medicare Beneficiaries," Preventive Medicine, 73(2015): 47 - 52.