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The Harvey L. Neiman Health Policy Institute® studies the value and role of radiology in evolving health care delivery and payment systems, including quality based approaches to care and the impact of medical imaging on overall health care costs. Neiman Institute research provides a foundation for evidence-based imaging policy to improve patient care and bolster efficient, effective use of health care resources.

Utilization

Changing Abdominal Imaging Utilization Patterns: Perspectives from Medicare Beneficiaries Over Two Decades

This study assess changing utilization patterns of abdominal imaging in the Medicare fee-for-service population over the past two decades. Full Article

Moreno, C.C., Hemingway, J., Johnson, A.C., Hughes, D.R., Mittal, P.K., and Duszak Jr., R. 2016. "Changing Abdominal Imaging Utilization Patterns: Perspectives from Medicare Beneficiaries Over Two Decades," Journal of American College of Radiology, 13(8): 894 - 903.

Secondary Interpretation of Computed Tomography Examinations: Frequency and Payment in the Medicare Fee-for-Service Population

This study evaluated historic trends in submitted claims and payments for secondary interpretation services in the Medicare fee-for-service population. Secondary interpretation of diagnostic imaging examinations (providing a second formal interpretation for imaging performed at another institution) may reduce repeat imaging after transfer of care. Full Article

Lu, M., Hallett, T.R., Hemingway, J., Hughes, D.R., Hoffmann, U., and Duszak, R. 2016. "Secondary Interpretation of Computed Tomography Examinations: Frequency and Payment in the Medicare Fee-for-Service Population," Journal of the American College of Radiology, 13(9): 1096 - 1101.

Medicare Policy Initiatives and the Relative Utilization of “Double-Scan” CT

This study examines trends in the relative utilization of double-scan CT before and after 2006 legislation mandating relevant Medicare reporting initiatives. Full Article

Flug, J.A., Hemingway, J., Hughes, D.R., Silva, E., and Duszak Jr, R. 2016. "Medicare Policy Initiatives and the Relative Utilization of “Double-Scan” CT," Journal of the American College of Radiology, 13(2): 137 - 143.

Same Day Sinus and Brain CT Imaging in the Medicare Population: Are Practice Patterns Changing in Association with Medicare Policy Initiatives?

This study investigates patient-level claims data in the Medicare population focusing on where same-day sinus and brain CT imaging is performed and how the frequency of same-day studies changed with time before and during OP-14 measure program implementation. Full Article

Kroll, H., Duszak Jr, R., Hemingway, J., Hughes, D.R. and Wintermark, M. 2016. "Same Day Sinus and Brain CT Imaging in the Medicare Population: Are Practice Patterns Changing in Association with Medicare Policy Initiatives?," American Journal of Neuroradiology, 37(6): 1000 - 1004.

Reassessing Medicare Trends in Diagnostic CT Colonography After Achieving CPT Code Category I Status

This study compares national trends in utilization and coverage of diagnostic (non-screening) computed tomography colonography (CTC) in the Medicare population before and after achieving Current Procedural Terminology® (CPT) Category I code status in 2010. Full Article

Cox, K., Duszak Jr., R., Hemingway, J., Hughes, D.R., and Nandwana, S.B. 2016. "Reassessing Medicare Trends in Diagnostic CT Colonography After Achieving CPT Code Category I Status," Abdominal Radiology, 41(7): 1357 - 1362.

Medicare Utilization of Vascular Ultrasound From 1998 to 2013: Continued Growth in Both Radiologist and Nonradiologist Imaging

This study assesses national trends in the utilization of vascular ultrasound (VUS) and changing relative specialty roles in examination interpretation. Full Article

Prabhakar, A.M., Misono, A.S., Hemingway, J., Hughes, D.R., and D.R., and Duszak Jr, R. 2015. "Medicare Utilization of Vascular Ultrasound From 1998 to 2013: Continued Growth in Both Radiologist and Nonradiologist Imaging," Journal of the American College of Radiology, 13(3): 255 - 264.

State Variation in Medical Imaging: Despite Great Variation, the Medicare Spending Decline Continues

The purpose of this study was to assess state-level trends in per beneficiary Medicare spending on medical imaging. Full Article

Rosenkrantz, A.B., Hughes, D.R., and Duszak Jr, R.. 2015. "State Variation in Medical Imaging: Despite Great Variation, the Medicare Spending Decline Continues," American Journal of Roentgenology, 205(4): 817 - 821.

July 24, 2015

Medicare’s Itsy Bitsy Teenie Weenie Yellow Polka Dot Bikini

MedPAC would have its annual report readers believe that CT and MR utilization is increasing out of control, but that’s simply not the case. If we want to make good policy about medical imaging, then what we need is more informational transparency, not less. Read More

Diagnostic Radiology Resident and Fellow Workloads: A 12-Year Longitudinal Trend Analysis Using National Medicare Aggregate Claims Data

This study evaluates changes in diagnostic radiology resident and fellow workloads in recent years. Full Article

Chokshi, F.H., Hughes, D.R., Wang, J.M., Mullins, M.E., Hawkins, C.M., and Duszak Jr, R.. 2015. "Diagnostic Radiology Resident and Fellow Workloads: A 12-Year Longitudinal Trend Analysis Using National Medicare Aggregate Claims Data," Journal of the American College of Radiology, 12(7): 664 - 669.

Percutaneous Hepatic and Renal Biopsy Procedures: An 18-Year Analysis of Changing Utilization, Specialty Roles, and Sites of Service

This study evaluates national trends in percutaneous hepatic and renal biopsy procedures with regard to utilization, specialty group roles, and sites of service. Full Article

Angel W., Hawkins C.M., Wang J.M., Hughes D.R., Duszak R.. 2015. "Percutaneous Hepatic and Renal Biopsy Procedures: An 18-Year Analysis of Changing Utilization, Specialty Roles, and Sites of Service," Journal of Vascular and Interventional Radiology, 26(5): 680 - 685.