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. Read the 2016 Neiman Institute Annual Report.

Commentary

February 16, 2017

Radiologists and Internet Transparency: You Can Run but You Cannot Hide

In the current era of patient-centered care, patient satisfaction is emerging as an increasingly important metric in the evaluation of health care organizations and providers.
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January 5, 2017

Radiologists and CMS’ Patient Facing Designation

To help radiologists understand whether they – or their practice – are likely to be designated as patient facing for participation in MIPS, the Neiman Institute has provided the Radiologist Patient Facing Dataset. Read More

September 19, 2016

Radiology and the Shared Savings ACO

A new Neiman Institute paper, published in collaboration with industrial engineers from Virginia Tech, investigates how the incentives in an alternative payment model, the Accountable Care Organization Share Savings Program, might influence cost, quality, utilization, and technological investment. Read More

July 19, 2016

Data and Analytics: Leveling the New Payment World Playing Field

“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

March 7, 2016

How Many Medicare Enrollees? CMS Methodological Changes and Implications for Research

Recent changes in how CMS reports the number of Medicare enrollees highlights the difficulties in performing consistent and transparent studies even when using the best data available. Read More

September 2, 2015

The Neiman Almanac: A Valuable Resource for Early-Career Radiologists

The Neiman Almanac’s content serves as a valuable resource for early-career radiologists in navigating the imaging-related health services landscape and promotes an enhanced understanding of key trends relevant to ongoing practice and payment model restructuring in radiology. Read More

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

April 14, 2015

How Many Radiologists? It Depends on Who You Ask!

As organizations increasingly rely upon data analytics to inform decisions and solve problems, it is important to realize the limitations of data to reveal truth for even the simplest questions – such as the total number of U.S radiologists. Read More

March 12, 2015

What’s the Value of Value-Based Payments if We Can’t Measure Value?

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

January 13, 2015

The Cost of Thrift: Utilization of Imaging by Advanced Practice Clinicians

In his popular tome, Innovator’s Prescription, Clayton Christensen proposes several cures to healthcare’s cost disease, known as disruptive innovations. One is the replacement of physicians by advanced practice clinicians (APCs). That is by nurse practitioners and physician assistants. APCs meet the requirements for Christenson’s disruptive innovators: they cost less (than physicians) and are good enough. Read More