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.
July 24, 2015
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
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.
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.
This study evaluates regional variation in Medicare Physician Fee Schedule (MPFS) payments for medical imaging to radiologists compared with nonradiologists. Full Article
Rosman DA, Nsiah E, Hughes DR, Duszak R Jr.. 2015. "Regional Variation in Medicare Payments for Medical Imaging: Radiologists Versus Nonradiologists," American Journal of Roentgenology, 204(5): 1042 - 1048.
This study evaluates national trends in nonvascular invasive radiology procedures performed by advanced practice providers (APPs), focusing specifically on nurse practitioners and physician assistants. Full Article
Duszak, R., Walls, D. G., Wang, J. M., Hemingway, J., Hughes, D. R., Small, W. C., & Bowen, M. A.. 2015. "Expanding Roles of Nurse Practitioners and Physician Assistants as Providers of Nonvascular Invasive Radiology Procedures," Journal of the American College of Radiology, 12(3): 284 - 289.
The purpose of this study is to evaluate national trends in lumbar puncture procedures and the relative roles of specialty groups providing this service. Full Article
Kroll, H., Duszak, R., Nsiah, E., Hughes, D. R., Sumer, S., & Wintermark, M.. 2015. "Trends in Lumbar Puncture Over 2 Decades: A Dramatic Shift to Radiology," American Journal of Roentgenology, 204(1): 15 - 19.
December 18, 2014
As our society continues to study and debate the optimal role of nurse practitioners and physician assistants as important members of our delivery teams, the policy goal seems clear: “the right care by the right clinician.” Read More
November 24, 2014
Increasing the use of advanced practice clinicians is crucial to meeting America’s shortage of primary care providers — but careful attention must made to ensure this doesn’t inappropriately increase the use of diagnostic services. Read More
November 7, 2014
Medical imaging has previously been identified as one of the fastest growing of all health care sectors. More recently, though, data from a variety of sources reveal a dramatic and sustained slowing—and now a decline—in both utilization and spending. Read More
The aim of this study was to assess national specialty trends in the use of diagnostic ultrasound services in the emergency department setting. Full Article
Rosenkrantz AB, Bilal NH, Hughes DR, Duszak R.. 2014. "National Specialty Trends in Billable Diagnostic Ultrasound in the Emergency Department Setting: Analysis of Medicare Claims Data," The American Journal of Emergency Medicine, 32(12): 1470 - 1475.
