October 29, 2019
CMS has implemented a quality payment incentive program, referred to as the Quality Payment Program, which rewards value and outcomes for clinicians participating in Medicare in one of two ways: Merit-based incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). This new study from Harvey L. Neiman Health Policy Institute, published online in the Journal of Read More
September 12, 2019
In a Harvey L. Neiman Health Policy Institute study published in the American Journal of Roentgenology, researchers identified the specific types of diagnostic imaging services rendered by NPPs in the Medicare population and studied state-level variation in the provision of such services. Read More
August 20, 2019
A new Harvey L. Neiman Health Policy Institute study assesses temporal and patient-level differences in paracentesis and thoracentesis procedures performed on Medicare beneficiaries by radiologists and non-radiologists with respect to overall procedure volume, day of week, and patient complexity. Read More
Bundled payments have been touted as mechanisms to optimize quality and costs. A recent feasibility study evaluating
bundled payments for screening mammography episodes predated widespread adoption of digital breast tomosynthesis (DBT). We
explore a similar model reflecting emerging acceptance of DBT in breast cancer screening.
Methods: Using 4-year data for 59,094 screening episodes from two large facilities within a large academic health system, we utilized published methodology to calibrate Medicare national allowable reference prices for women undergoing screening mammography before and after practice-wide implementation of DBT. Full Article
Margaret M. Fleming, MD, MS, Danny R. Hughes, PhD, Lauren P. Golding, MD, Geraldine B. McGinty, MD, MBA, Dan MacFarlane, BS, CPA, Richard Duszak Jr, MD. 2019. "Digital Breast Tomosynthesis Implementation: Considerations for Emerging Breast Cancer Screening Bundled Payment Models," Journal of American College of Radiology (JACR), 16(7)
June 19, 2019
A new study performed in conjunction with the Harvey L. Neiman Health Policy Institute examines changing characteristics of utilization and potential disparities in US emergency department (ED) patients undergoing CT of the abdomen and pelvis (CTAP) for suspected urolithiasis. Read More