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.

Academic Radiologist Subspecialty Identification Using a Novel Claims-Based Classification System

This study assesses the feasibility of a novel claims-based classification system for payer identification of academic radiologist subspecialties. Full Article

Rosenkrantz, A.B., Hughes, D.R., Wang, W., Ginocchio, L., Rosman, D.A., and Duszak, R. 2017. "Academic Radiologist Subspecialty Identification Using a Novel Claims-Based Classification System," American Journal of Roentgenology

County-Level Population Economic Status and Medicare Imaging Resource Consumption

The aim of this study was to assess relationships between county-level variation in Medicare beneficiary imaging resource consumption and measures of population economic status. Full Article

Rosenkrantz, A.B., Hughes, D.R., Prabhakar, A.M., and Duszak, R. 2017. "County-Level Population Economic Status and Medicare Imaging Resource Consumption," Journal of the American College of Radiology

Downstream Imaging Utilization After Emergency Department Ultrasound Interpreted by Radiologists Versus Nonradiologists: A Medicare Claims–Based Study

This paper studied differences in imaging utilization downstream to initial emergency department (ED) ultrasound examinations interpreted by radiologists versus nonradiologists. Full Article

Allen, B., Carrol, L.V., Hughes, D., Hemingway, J., Duszak, R., and Rosenkrantz, A.B. 2017. "Downstream Imaging Utilization After Emergency Department Ultrasound Interpreted by Radiologists Versus Nonradiologists: A Medicare Claims–Based Study," Journal of the American College of Radiology

How Satisfied Are Patients With Their Radiologists? Assessment Using a National Patient Ratings Website

This study assessed features of patient satisfaction scores for U.S. radiologists using a popular physician rating website. Full Article

Rosenkrantz, A.B., Ginocchio, L., and Duszak Jr, R. 2017. "How Satisfied Are Patients With Their Radiologists? Assessment Using a National Patient Ratings Website," American Journal of Roentgenology

Temporal and Patient Variations Potentially Impacting New Payment Models

This study evaluates the impact of an array of nongeographic patient and within-year temporal factors on variation in Medicare imaging utilization. Full Article

Rosenkrantz, A.B., Schoppe, K.A., and Duszak, R. 2017. "Temporal and Patient Variations Potentially Impacting New Payment Models," Journal of the American College of Radiology

MACRA, Alternative Payment Models, and the Physician-Focused Payment Model: Implications for Radiology

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

Nonresearch Industry Payments to Radiologists: Characteristics and Associations With Regional Medical Imaging Utilization

This study evaluates characteristics of nonresearch industry payments to radiologists and associations with regional diagnostic imaging utilization. Full Article

Kokabi, N., Junn, J.C., Xing, M., Hemingway, J., Hughes, D.R., and Duszak, R. 2017. "Nonresearch Industry Payments to Radiologists: Characteristics and Associations With Regional Medical Imaging Utilization," Journal of the American College of Radiology, 14(3): 418 - 425.

What Patients Think About Their Interventional Radiologists: Assessment Using a Leading Physician Ratings Website

The aim of this study was to evaluate patient satisfaction scores for interventional radiologists across the United States using a leading physician ratings website. Full Article

Obele, C., Duszak Jr, R., Hawkins, C.M., Rosenkrantz, A.B. 2017. "What Patients Think About Their Interventional Radiologists: Assessment Using a Leading Physician Ratings Website," Journal of the American College of Radiology

The Proposed MACRA/MIPS Threshold for Patient-Facing Encounters: What It Means for Radiologists

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.

MACRA, MIPS, and the New Medicare Quality Payment Program: An Update for Radiologists

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.