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.
This paper specifically studies the Medicare Shared Savings Program (MSSP) for Accountable Care Organizations (ACOs) and determines how this incentive program affects computed tomography (CT) use, and how it could be redesigned to minimize unnecessary CT scans. Full Article
Zhang, H., Wernz, C., Hughes, D.R. 2016. "Modeling and Designing Health Care Payment Innovations for Medical Imaging," Health Care Management Science
This study reports that breast cancer screening provides a framework for radiologist-led bundled payment models. Full Article
Hughes, D.R., Jiang, M., McGinty, G.B., Shetty, S., Duszak Jr, R. 2017. "An Empirical Framework for Breast Screening Bundled Payments," Journal of the American College of Radiology, 14(1): 17 - 23.
July 19, 2016
“Savvy radiologists who avail themselves of [ICE-T] will be prepared to play strong offense not just with joint replacement bundles, but with any inpatient bundled payment initiative CMS throws at them,” says Neiman Institute Affiliate Senior Research Fellow Richard Duszak, MD, FACR. Read More
This paper describes the recent MACRA legislation, including its impacts on payment, the timeline involved and how organizations, including the ACR, are helping to share its rules and regulations. Full Article
Silva, E., McGinty, G.B., Hughes, D.R., and Duszak Jr, R. 2016. "Alternative Payment Models in Radiology: The Legislative and Regulatory Roadmap for Reform," Journal of the American College of Radiology, 13(10): 1176 - 1181.
This paper provides a detailed historical context for payment reform, focusing on the payment quality initiatives and alternative payment model demonstrations that helped provide the foundation of future MACRA-driven payment reform. Full Article
Silva, E., McGinty, G.B., Hughes, D.R., and Duszak Jr, R. 2016. "Traditional Payment Models in Radiology: Historical Context for Ongoing Reform," Journal of the American College of Radiology, 13(10): 1171 - 1175.
March 12, 2015
Aligning with calls by many to abolish fee-for-service as we know it, the Centers for Medicare and Medicaid Services recently announced its target that half of all payments will be quality- or value-based by the end of 2018. It’s a laudable goal, but is it achievable in a world in which no one can agree on how to measure quality and value? Read More
November 7, 2014
This report highlights two emerging models being developed by the Neiman Institute designed to align provision and payment of specialty care with efforts to ensure a sustainable, high quality health care system. Read More
The aim of this study was to examine radiologists' experiences during the first four years of Medicare's national physician pay-for-performance program and project near-future program outcomes for radiologists. Full Article
Duszak, R., Burleson, J., Seidenwurm, D., & Silva, E.. 2012. "Medicare’s Physician Quality Reporting System: Early National Radiologist Experience and Near-Future Performance Projections," Journal of the American College of Radiology, 10(2): 114 - 121.
