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The mission of the Harvey L. Neiman Health Policy Institute® is to establish foundational evidence for health policy and radiology practice that promotes the effective and efficient use of health care resources and improves patient care.

March 3, 2025

Osteoporosis Screening with Opportunistic CT Could Double Screening Rates and Avoid up to 2.5 Billion in Medical Costs

A new multi-institute study demonstrates the potential prevention and economic benefits from the opportunistic use of CT, defined as screening performed using CT images that were collected for a different purpose. The study showed that using CT imaging for osteoporosis could increase the screening rate in the Medicare population by 113% without requiring any additional imaging. Read More

February 26, 2025

Small Practice Radiologists and Those Reporting Individual Face Disadvantages in MIPS Scoring, Highlighting Need for Reform

New Harvey L. Neiman Health Policy Institute research found significant differences in performance across radiologists in the CMS Merit-Based Incentive Payment System (MIPS).  The researchers examined a broad range of radiologist and practice characteristics and identified the set of factors that predicted whether a radiologist would score exceptionally, and thus receive the highest payment bonus, Read More

February 19, 2025

Treatment Patterns for Uterine Fibroids Differ by Insurance Type

A new Harvey L. Neiman Health Policy Institute study found that among women receiving treatment for uterine fibroids, those with Medicaid were more likely to receive uterine artery embolization than those with commercial insurance. The research examined the propensity for women to receive either surgical treatment or the less invasive UAE procedure for uterine fibroids. Read More

February 12, 2025

New Studies Shed Light on the Future Radiologist Workforce Shortage by Projecting Future Radiologist Supply and Demand for Imaging

Companion studies from the Harvey L. Neiman Health Policy Institute published today in the Journal of the American College of Radiology estimated the future radiologist workforce (supply) and imaging utilization (demand) through 2055. The objective of these studies was to inform the policy discussion surrounding the current shortage of radiologists in the United States by projecting Read More

December 20, 2024

The Neiman Imaging Comorbidity Index Proves Effective for Risk-Adjustment Across Medicare, Medicaid and Privately Insured Populations

Previously in 2024, researchers at the Harvey L. Neiman Health Policy Institute published a novel risk-adjustment score—the Neiman Imaging Comorbidity Index (NICI)—predictive of patients’ advanced imaging use. Now, these researchers have published more extensive validation of the NICI to test its utility in datasets other than the claims dataset from which it was developed. Read More

December 18, 2024

Medicaid Patients in States with Relatively Higher Medicaid Reimbursement Are More Likely to Receive Imaging

A new HPI study found that Medicaid patients residing in states with higher Medicaid reimbursement were more likely to receive medical imaging. However, the number of imaging exams for Medicaid patients who underwent imaging did not vary based on reimbursement differences. Read More

December 13, 2024

New Study Shows Mobile Mammography Reach is Highest in Underserved Groups with Low Breast Cancer Screening Adherence

A recent study by the Harvey L. Neiman Health Policy Institute demonstrates that mobile mammography is generally used by women otherwise unlikely to be screened, and thus is complementary to facility-based mammography rather than a substitute for it. Read More

November 19, 2024

NPP Imaging Interpretation Share More Than Doubled between 2013 and 2022

A new HPI study found non-physician practitioners’ (NPPs) share of imaging interpretation in office-based practices increased 117%, from 2.52% of Medicare imaging studies in 2013 to 5.47% in 2022. Interpretations by NPPs are performed by a small minority of NPPs with considerable variation by imaging modality and state. Read More

October 22, 2024

Radiologists are Participating in Less Resident Training as Workloads Increase, New Study Shows

According to new research from the Neiman Institute, radiologists who teach residents are spending significantly less time each year in that teaching role. The study, published in JACR, tracked the workload of 35,595 radiologists in Medicare Part B claims data from 2008 to 2020.  Read More

October 3, 2024

Neurointerventionalists May Rarely Recover Payment for Out of Network Mechanical Thrombectomy Under the No Suprises Act

The latest Harvey L. Neiman Health Policy Institute study found that neurointerventionalists, who often deliver lifesaving and disability-sparing treatments for emergency stroke cases, have essentially no financially viable access to payment recovery through the No Surprises Act for professional mechanical thrombectomy out-of-network claims. MT is an effective treatment for emergent large vessel occlusions, such as ischemic stroke. Read More