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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.

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

August 20, 2024

Heat Vulnerability Linked to Worse Stroke Severity, Offering a New Metric for Stroke Risk Amidst Climate Change

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

August 12, 2024

Women Travel Nearly 3 Times as Far for Supplemental MR or US Breast Cancer Screening than for Mammography, Limiting Access for Those at Higher Risk

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

July 11, 2024

Proposed Radiation Oncology Bundled Payments Produce Medicare Savings with Goal of Stabilizing Reimbursement

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

June 28, 2024

Imaging Market Share Analysis Shows 28% of Image Interpretation Performed by Non-Radiologists

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

The Harvey L. Neiman Health Policy Institute Launches Cancer Disparity Maps

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

June 5, 2024

Consolidation Patterns of Practices with Radiologists through 2023

A new Harvey L. Neiman Health Policy Institute study found that from 2014 to 2023 the number of medical practices with affiliated radiologists decreased 14.7% even though the number of radiologists increased 17.3%. As such, the average number of radiologists per practice increased from 9.7 to 17.9 over the study. Read More

April 26, 2024

Continued Medicare Reimbursement Declines Could Threaten Access to Physicians

A new Neiman Institute study found that physician reimbursement per Medicare patient decreased 2.3% between 2005 and 2021 when accounting for inflation, despite a concurrent increase of 45.5% in physician services to each patient. These reimbursement trends varied widely by physician specialty. Read More