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.
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.
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.
This study reports that state tort reform has been associated with a decrease in physician ordering of radiographs. Full Article
Li, S., Dor, A., Hughes, D.R., and Deyo, D. 2017. "The Impact of State Tort Reforms on Imaging Utilization," Journal of the American College of Radiology, 14(2): 149 - 156.
This paper evaluates national trends in enteral access and maintenance procedures for Medicare beneficiaries with regard to utilization rates, specialty group roles, and sites of service. Full Article
Wan, W., Misono A.S., Hawkins, C, M., Hemingway, J., Hughes, D.R., Duszak Jr, R. 2017. "Enteral Access Procedures: An 18-Year Analysis of Changing Patterns of Utilization in the Medicare Population," Journal of Vascular and Interventional Radiology, 28(1): 134 - 141.
This paper specifically studies the Medicare Shared Savings Program (MSSP) for Accountable Care Organizations (ACOs) and determines how this incentive program affects computed tomography (CT) use, and how it could be redesigned to minimize unnecessary CT scans. Full Article
Zhang, H., Wernz, C., Hughes, D.R. 2016. "Modeling and Designing Health Care Payment Innovations for Medical Imaging," Health Care Management Science
This study reports that breast cancer screening provides a framework for radiologist-led bundled payment models. Full Article
Hughes, D.R., Jiang, M., McGinty, G.B., Shetty, S., Duszak Jr, R. 2017. "An Empirical Framework for Breast Screening Bundled Payments," Journal of the American College of Radiology, 14(1): 17 - 23.
This paper examines changes in utilization of computed tomography (CT) angiography nationally and changing relative specialty roles in examination interpretation.
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Prabhakar, A.M., Misono A.S., Hemingway, J., Hughes, D.R., Duszak Jr, R. 2016. "Medicare Utilization of CT Angiography from 2001 through 2014: Continued Growth by Radiologists," Journal of Vascular and Interventional Radiology, 27(10): 1554 - 1560.
This paper describes the recent MACRA legislation, including its impacts on payment, the timeline involved and how organizations, including the ACR, are helping to share its rules and regulations. Full Article
Silva, E., McGinty, G.B., Hughes, D.R., and Duszak Jr, R. 2016. "Alternative Payment Models in Radiology: The Legislative and Regulatory Roadmap for Reform," Journal of the American College of Radiology, 13(10): 1176 - 1181.
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.
