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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.

Utilization

December 18, 2014

Would You Let A Nurse Practitioner Do That Procedure On You?

As our society continues to study and debate the optimal role of nurse practitioners and physician assistants as important members of our delivery teams, the policy goal seems clear: “the right care by the right clinician.” Read More

November 24, 2014

Overuse of Diagnostic Imaging by Advanced Practice Clinicians?

Increasing the use of advanced practice clinicians is crucial to meeting America’s shortage of primary care providers — but careful attention must made to ensure this doesn’t inappropriately increase the use of diagnostic services. Read More

November 7, 2014

Medical Imaging: Is the Growth Boom Over?

Medical imaging has previously been identified as one of the fastest growing of all health care sectors. More recently, though, data from a variety of sources reveal a dramatic and sustained slowing—and now a decline—in both utilization and spending. Read More

National Specialty Trends in Billable Diagnostic Ultrasound in the Emergency Department Setting: Analysis of Medicare Claims Data

The aim of this study was to assess national specialty trends in the use of diagnostic ultrasound services in the emergency department setting. Full Article

Rosenkrantz AB, Bilal NH, Hughes DR, Duszak R.. 2014. "National Specialty Trends in Billable Diagnostic Ultrasound in the Emergency Department Setting: Analysis of Medicare Claims Data," The American Journal of Emergency Medicine, 32(12): 1470 - 1475.

Central Venous Access: Evolving Roles of Radiology and Other Specialties Nationally Over Two Decades

The aim of this study was to examine national trends in both temporary central venous catheter and long-term CVA device procedures over 20 years with regard to changing specialty group roles and places of service. Full Article

Duszak, R., Bilal, N., Picus, D., Hughes, D. R., & Xu, B. J.. 2013. "Central Venous Access: Evolving Roles of Radiology and Other Specialties Nationally Over Two Decades," Journal of the American College of Radiology, 10(8): 603 - 612.

Trends in Utilization of Medical Imaging from 2003 to 2011: Clinical Encounters Offer a Complementary Patient-Centered Focus

The aim of this study was to investigate trends in utilization and spending for medical imaging, using medical visits resulting in imaging as a novel metric of utilization. Full Article

Dodoo, M. S., Duszak, R., & Hughes, D. R.. 2013. "Trends in Utilization of Medical Imaging from 2003 to 2011: Clinical Encounters Offer a Complementary Patient-Centered Focus," Journal of the American College of Radiology, 10(7): 507 - 512.

Comparative Analysis of Medicare Spending For Medical Imaging: Sustained Dramatic Slowdown Compared With Other Services

The aim of this study was to examine the effect of the 2005 Deficit Reduction Act on Medicare spending for medical imaging relative to other services. Full Article

Lee, D. W., Duszak, R., & Hughes, D. R.. 2013. "Comparative Analysis of Medicare Spending For Medical Imaging: Sustained Dramatic Slowdown Compared With Other Services," American Journal of Roentgenology, 201(6): 1277 - 1282.