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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.

National Specialty Trends in Billable Diagnostic Ultrasound in the Emergency Department Setting: Analysis of Medicare Claims Data

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.

The Scope and Distribution of Imaging Services at Critical Access Hospitals

The aim of this study is to assess the availability and scope of imaging services at critical access hospitals throughout the United States. Full Article

Khaliq, A., Nsiah, E., Bilal, N. H., Hughes, D. R., & Duszak, R.. 2014. "The Scope and Distribution of Imaging Services at Critical Access Hospitals," Journal of the American College of Radiology, 11(9): 857 - 862.

The Effect of Macroeconomic Conditions on the Care Decisions of the Employed

The aim of this study is to evaluate whether patients who are both employed and insured alter their utilization of medical services in response to changes in state unemployment rates. Full Article

Hughes, D. R., & Khaliq, A. A.. 2014. "The Effect of Macroeconomic Conditions on the Care Decisions of the Employed," Medical Care, 52(2): 121 - 127.

Professional Efficiencies for Diagnostic Imaging Services Rendered by Different Physicians: Analysis of Recent Medicare Multiple Procedure Payment Reduction Policy

The aim of this study was to quantify potential physician work efficiencies and appropriate multiple procedure payment reductions for different same-session diagnostic imaging studies interpreted by different physicians in the same group practice. Full Article

Duszak, R., Silva, E., Kim, A. J., Barr, R. M., Donovan, W. D., Kassing, P., McGinty, G., Allen, B.. 2013. "Professional Efficiencies for Diagnostic Imaging Services Rendered by Different Physicians: Analysis of Recent Medicare Multiple Procedure Payment Reduction Policy," Journal of the American College of Radiology, 10(9): 682 - 688.

Emergency Department Imaging: Uncompensated Services Rendered by Radiologists Nationwide

The aim of this study was to examine characteristics of uncompensated services rendered by radiologists to emergency department (ED) patients. Full Article

Duszak, R., Nsiah, E., Hughes, D. R., & Maze, J.. 2013. "Emergency Department Imaging: Uncompensated Services Rendered by Radiologists Nationwide," Journal of the American College of Radiology, 11(6): 559 - 565.

Medicare’s Physician Quality Reporting System: Early National Radiologist Experience and Near-Future Performance Projections

The aim of this study was to examine radiologists' experiences during the first four years of Medicare's national physician pay-for-performance program and project near-future program outcomes for radiologists. Full Article

Duszak, R., Burleson, J., Seidenwurm, D., & Silva, E.. 2012. "Medicare’s Physician Quality Reporting System: Early National Radiologist Experience and Near-Future Performance Projections," Journal of the American College of Radiology, 10(2): 114 - 121.

Central Venous Access: Evolving Roles of Radiology and Other Specialties Nationally Over Two Decades

The aim of this study was to examine national trends in both temporary central venous catheter and long-term CVA device procedures over 20 years with regard to changing specialty group roles and places of service. Full Article

Duszak, R., Bilal, N., Picus, D., Hughes, D. R., & Xu, B. J.. 2013. "Central Venous Access: Evolving Roles of Radiology and Other Specialties Nationally Over Two Decades," Journal of the American College of Radiology, 10(8): 603 - 612.

Trends in Utilization of Medical Imaging from 2003 to 2011: Clinical Encounters Offer a Complementary Patient-Centered Focus

The aim of this study was to investigate trends in utilization and spending for medical imaging, using medical visits resulting in imaging as a novel metric of utilization. Full Article

Dodoo, M. S., Duszak, R., & Hughes, D. R.. 2013. "Trends in Utilization of Medical Imaging from 2003 to 2011: Clinical Encounters Offer a Complementary Patient-Centered Focus," Journal of the American College of Radiology, 10(7): 507 - 512.

Comparative Analysis of Medicare Spending For Medical Imaging: Sustained Dramatic Slowdown Compared With Other Services

The aim of this study was to examine the effect of the 2005 Deficit Reduction Act on Medicare spending for medical imaging relative to other services. Full Article

Lee, D. W., Duszak, R., & Hughes, D. R.. 2013. "Comparative Analysis of Medicare Spending For Medical Imaging: Sustained Dramatic Slowdown Compared With Other Services," American Journal of Roentgenology, 201(6): 1277 - 1282.

The 2013 ACR Commission on Human Resources Workforce Survey

The study reports the results of a survey of radiology practices on the labor market for radiologists. Full Article

Bluth, E. I., Truong, H., Nsiah, E., Hughes, D., & Short, B. W.. 2013. "The 2013 ACR Commission on Human Resources Workforce Survey," Journal of the American College of Radiology, 10(10): 750 - 756.