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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. Read the 2016 Neiman Institute Annual Report.

Traditional Payment Models in Radiology: Historical Context for Ongoing Reform

This paper provides a detailed historical context for payment reform, focusing on the payment quality initiatives and alternative payment model demonstrations that helped provide the foundation of future MACRA-driven payment reform. Full Article

Silva, E., McGinty, G.B., Hughes, D.R., and Duszak Jr, R. 2016. "Traditional Payment Models in Radiology: Historical Context for Ongoing Reform," Journal of the American College of Radiology, 13(10): 1171 - 1175.

Use of Health Information Exchange and Repeat Imaging Costs

The aim of this study was to quantify the association between health information exchange use and cost savings attributable to repeat imaging. Full Article

Hye-Young , J., Vest, JR., Unruh, MA., Kern, LM., and Kaushal, R. 2015. "Use of Health Information Exchange and Repeat Imaging Costs," Journal of the American College of Radiology, 12(12): 1364 - 1370.

Diagnostic Imaging Services in Magnet and Non-Magnet Hospitals: Trends in Utilization and Costs

The purpose of this study was to better understand trends in utilization and costs of diagnostic imaging services at Magnet hospitals and non-Magnet hospitals. Full Article

Jayawardhana, J., and Welton, J.M. 2015. "Diagnostic Imaging Services in Magnet and Non-Magnet Hospitals: Trends in Utilization and Costs," Journal of the American College of Radiology, 12(12): 1357 - 1363.

Image Sharing Technologies and Reduction of Imaging Utilization: A Systematic Review and Meta-analysis

This study aimed to summarize the impact of image sharing technologies on patient imaging utilization. Full Article

Vest, JR., Hye-Young, J., Ostrovsky, A., Das, L.T., and McGinty, G.B.. 2015. "Image Sharing Technologies and Reduction of Imaging Utilization: A Systematic Review and Meta-analysis," Journal of the American College of Radiology, 12(12): 1371 - 1379.

Changing Utilization Patterns of Cervical Spine Imaging in the Emergency Department: Perspectives From Two Decades of National Medicare Claims

The aim of this study was to assess the changing use of emergency department (ED) cervical spine imaging in the Medicare population. Full Article

Gabriel G., Harkey, P., Hemingway, J., Hughes, D.R., and Duszak Jr, R. 2016. "Changing Utilization Patterns of Cervical Spine Imaging in the Emergency Department: Perspectives From Two Decades of National Medicare Claims," Journal of the American College of Radiology, 13(6): 644 - 648.

The Ongoing Gap in Availability of Imaging Services at Teaching vs. Non-Teaching Hospitals Academic Radiology

This study aimed to characterize associations between availability of imaging services and intensity of teaching among US hospitals. Full Article

Rosenkrantz, A.B., Wang, W., Duszak, R. 2016. "The Ongoing Gap in Availability of Imaging Services at Teaching vs. Non-Teaching Hospitals Academic Radiology," Academic Radiology, 23(8): 1057 - 1063.

Facet Injection Trends in the Medicare Population and the Impact of Bundling Codes

The aim of this study was to evaluate if the CPT code changes correlated with a decreased utilization of facet injections. Full Article

Beckworth, J.W., Jiang M., Hemingway, J., Hughes, D.R., Staggs, D. 2016. "Facet Injection Trends in the Medicare Population and the Impact of Bundling Codes," The Spine Journal, 16(9): 1037 - 1041.

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.

How Do Publicly Reported Medicare Quality Metrics for Radiologists Compare With Those of Other Specialty Groups?

This study characterizes and compares the performance of radiologists in Medicare’s new Physician Compare Initiative with that of other provider groups. Full Article

Rosenkrantz, A.B., Hughes, D.R., and Duszak Jr, R. 2016. "How Do Publicly Reported Medicare Quality Metrics for Radiologists Compare With Those of Other Specialty Groups?," Journal of the American College of Radiology, 13(3): 243 - 248.