Bundled payments have been touted as mechanisms to optimize quality and costs. A recent feasibility study evaluating
bundled payments for screening mammography episodes predated widespread adoption of digital breast tomosynthesis (DBT). We
explore a similar model reflecting emerging acceptance of DBT in breast cancer screening.
Methods: Using 4-year data for 59,094 screening episodes from two large facilities within a large academic health system, we utilized published methodology to calibrate Medicare national allowable reference prices for women undergoing screening mammography before and after practice-wide implementation of DBT. Full Article
Margaret M. Fleming, MD, MS, Danny R. Hughes, PhD, Lauren P. Golding, MD, Geraldine B. McGinty, MD, MBA, Dan MacFarlane, BS, CPA, Richard Duszak Jr, MD. 2019. "Digital Breast Tomosynthesis Implementation: Considerations for Emerging Breast Cancer Screening Bundled Payment Models," Journal of American College of Radiology (JACR), 16(7)
The toll of burnout on healthcare is significant and associated with physician depression and medical errors. The objective of this study it to assess the prevalence and risk factors for burnout among neurointerventionalists. Full Article
Kyle M Fargen, Adam S Arthur, Thabele Leslie-Mazwi, Rebecca M Garner, Carol A Aschenbrenner, Stacey Q Wolfe, Sameer A Ansari, Guilherme Dabus, Alejandro Spiotta, Maxim Mokin, Italo Linfante, J Mocco, Joshua A Hirsch. 2019. "Survey Measures Burnout Among Neurointerventionalists," Journal of NeuroInterventional Surgery
The aim of this study was to assess the potential impact of ACR evidence-based advocacy on radiologist professional reimbursement from individual-provider CMS multiple-procedure payment reduction (MPPR) initiatives. Full Article
Sadigh, G., Hughes, D.R., Wang, W., Allen, B., McGinty, G., Silva, E., Duszak, R. 2017. "Radiologist Professional Payments After Mitigation of CMS’s Multiple-Procedure Payment Reduction Initiatives," Journal of the American College of Radiology
August 10, 2017
The Harvey L. Neiman Health Policy Institute™ annual report for Fiscal Year (FY) 2016. The report highlights several key accomplishments, including the launch of the Inpatient Cost-Evaluation Tool (ICE-T), a Journal of the American College of Radiology (JACR) report on a proposed breast cancer screening bundle and numerous other scientific achievements. Read More
This paper suggests that patient-focused physician models provide a compelling opportunity for radiologists to demonstrate and be rewarded for their unique contributions toward patient care, and may foster greater radiologist participation in APMs under MACRA. Full Article
Rosenkrantz, A.B., Nicola G.N., Allen, B., Hughes, D.R., and Hirsch, J.A. 2017. "MACRA, Alternative Payment Models, and the Physician-Focused Payment Model: Implications for Radiology," Journal of the American College of Radiology
This report found that CMS’ proposed criteria for special considerations in new payment models would result in many radiologists being evaluated using measures not reflective of their practice. Full Article
Rosenkrantz A.B., Hirsch J.A., Allen B. Jr., Wang W., Hughes D.R., Nicola G. 2017. "The Proposed MACRA/MIPS Threshold for Patient-Facing Encounters: What It Means for Radiologists," Journal of the American College of Radiology, 14(3): 308 - 315.
This report provides an overview of CMS’ proposal for implementing MACRA legislation via the new QPP, paying specific attention to the implications and imperatives for radiologists under MIPS. Full Article
Rosenkrantz, A.B., Nicola G.N., Allen, B., Hughes, D.R., and Hirsch, J.A. 2017. "MACRA, MIPS, and the New Medicare Quality Payment Program: An Update for Radiologists," Journal of the American College of Radiology, 14(3): 316 - 323.
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.