Elizabeth Rula, PhD

Executive Director

Elizabeth Rula, Ph.D., is Executive Director of the Harvey L. Neiman Health Policy Institute where she oversees a large, diverse portfolio of research that informs health policy and radiology practice. The Institute’s mission is to publish impactful research to promote the effective and efficient use of health care resources to improve patient care. The Neiman Institute is affiliated with the American College of Radiology, where Dr. Rula serves as Vice President of health services and policy research. With over 15 years of experience leading health services and outcomes research, Dr. Rula strives to establish a strong scientific foundation for the value of health care services and health policy that promotes broad and equitable access to high-value care. She has authored over 96 refereed journal articles, numerous white papers and reports, and writes a column on policy research for the ACR Bulletin. Under her leadership, the Neiman Health Policy Institute’s research has grown in recognition, with extensive media coverage, including recent stories by NPR and US News and World Report. Dr. Rula earned her doctorate from Vanderbilt University in the field of Pharmacology.

Dr. Rula’s bibliography of peer-reviewed articles is available here.

Selected Publications

Pelzl C, Sadigh G, Malhotra A, Martinez ML, Prosper AE, Carlos RC, Christensen E, Drake AR, Rula EY, Jordan JE. State-Level Malpractice Factors and Imaging Utilization in Patients Presenting to the Emergency Department With Headache: A National Medicaid Analysis. AJR Am J Roentgenol. 2025 Oct 29;. doi: 10.2214/AJR.25.33781. [Epub ahead of print] PubMed PMID: 41159789.

Drake AR, Christensen EW, Ochoa AC, Small W Jr, Scott J, Rula EY. Community Factors and County-Level Cancer Screening, Prevalence, and Mortality. JAMA Netw Open. 2025 Oct 1;8(10):e2537690. doi: 10.1001/jamanetworkopen.2025.37690. PubMed PMID: 41129153; PubMed Central PMCID: PMC12550642.

Chung Y, Liu CM, Rula EY, Dako F, Carlos RC, Lee RK, Christensen EW. Association of Shared Decision-Making With Long-Term Adherence to Lung Cancer Screening. Chest. 2025 Nov;168(5):1248-1256. doi: 10.1016/j.chest.2025.06.026. Epub 2025 Jul 9. PubMed PMID: 40645286.

Chung Y, Liu CM, Nicola LP, Rula EY. Factors Influencing Radiologist Performance in the Merit-Based Incentive Payment System. J Am Coll Radiol. 2025 May;22(5):561-572. doi: 10.1016/j.jacr.2025.01.011. Epub 2025 Feb 26. PubMed PMID: 40019427.

Christensen EW, Chung Y, Rula EY, Parikh JR. Changes in the Radiology Practice Landscape and Indicators of Practice Consolidation From 2014 to 2023. AJR Am J Roentgenol. 2024 Aug;223(2):e2431357. doi: 10.2214/AJR.24.31357. Epub 2024 Jun 5. PubMed PMID: 38838234.

Christensen EW, Waid MD, Hirsch JA, Parikh JR, Raja AS, Rathmell JP, Rula EY. Financial Viability of the No Surprises Act Independent Dispute Resolution Process: Radiology and Other Hospital-Based Specialties. AJR Am J Roentgenol. 2024 Apr;222(4):e2330687. doi: 10.2214/AJR.23.30687. Epub 2024 Jan 17. PubMed PMID: 38230900.

Christensen EW, Liu CM, Duszak R Jr, Hirsch JA, Swan TL, Rula EY. Association of State Share of Nonphysician Practitioners With Diagnostic Imaging Ordering Among Emergency Department Visits for Medicare Beneficiaries. JAMA Netw Open. 2022 Nov 1;5(11):e2241297. doi: 10.1001/jamanetworkopen.2022.41297. PubMed PMID: 36355374; PubMed Central PMCID: PMC9650604.