August 20, 2024 in Press Releases
A new Harvey L. Neiman Health Policy Institute study found that living in a neighborhood with higher vulnerability to environmental heat predicted worse stroke severity. Investigators from HPI’s PRIME research center at Northwell Health, the largest health system in New York state, evaluated all acute ischemic stroke admissions to Northwell’s comprehensive stroke center over a decade. Read More
For high-risk women, breast magnetic resonance (MR) is the preferred supplemental imaging option, but spatial access differences may exacerbate disparities in breast care. The primary aim of this study was to examine the relative distance to breast imaging facilities with MR compared to facilities offering mammography or ultrasound. Access to advanced imaging modalities is critical for breast cancer outcomes, so better understanding how more local facilities could be harnessed to provide these services is necessary. This study examined for each modality the association of socioeconomic status (as measured by the ADI) and urbanicity with distance to breast imaging facilities to quantify their relationship with distance-related screening access to breast imaging. Full Article
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August 12, 2024 in Press Releases
Given new breast density guidelines, now approximately one in two women are recommended to have supplemental breast cancer screening by breast MR or ultrasound due to their relatively higher breast cancer risk. Our latest research, published in the American Journal of Preventive Medicine, measured distance to the nearest facility offering mammography, breast MR and/or breast ultrasound for 29,629 ZIP codes. Read More
As indications for acute ischemic stroke treatment expand, it is unclear whether disparities in treatment utilization and outcome still exist. The main objective of this study was to investigate disparities in acute ischemic stroke treatment and determine impact on outcome. Full Article
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July 31, 2024 in Policy Briefs
The dynamics of a workforce shortage, volume growth, NPPS and paused implementation of clinical decisions support via PAMA legislation are threatening patient access. In this issue of Research Rounds, our Executive Director, Elizabeth Rula, PhD, covers the evidence unfolding from our work from the Harvey L. Neiman Health Policy Institute® (HPI), where we are studying the Read More
July 11, 2024 in Press Releases
A new study by researchers from Mayo Clinic & the Neiman Institute demonstrates the impact on reimbursement of a value-based payment model, the Radiation Oncology Case Rate. A bipartisan bill introduced to Congress this May includes ROCR to protect access, reduce disparities and improve outcomes in cancer treatment. Read More
The Radiation Oncology Case Rate (ROCR) aims to shift radiation reimbursement from fee-for-service (FFS) to bundled payments, which would decouple fractionation from reimbursement in the United States. This study compares historical reimbursement rates from 3 large centers and a national Medicare sample with proposed base rates from ROCR. It also tests the impact of methodological inclusion of treatment and disease characteristics to determine if any variables are associated with greater rate differences that may lead to inequitable reimbursement. Full Article
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The aim of this study was to examine radiology’s and other specialties’ market shares for diagnostic imaging interpretation for Medicare fee-for-service claims by modality, body region, and place of service. Full Article
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June 28, 2024 in Press Releases
Reston, VA – A new Harvey L. Neiman Health Policy Institute study found that radiologists interpreted 72.1% of all imaging studies for Medicare fee-for-service beneficiaries in 2022, with the remaining 27.9% performed by other types of clinicians. Market share varied by imaging modality; radiologists interpreted 97.3% of computed tomography (CT), 91.0% of magnetic resonance (MR), 76.6% Read More
June 20, 2024 in Press Releases
The Harvey L. Neiman Health Policy Institute announces the public launch of a new online tool that reveals the overlap between cancer disparities and social determinants of health using advanced heat maps of U.S. counties. The Cancer Equity Atlas can identify high-opportunity targets for policies and programs to achieve equitable health outcomes in underserved populations. Read More