The aim of this study was to assess the potential impact of ACR evidence-based advocacy on radiologist professional reimbursement from individual-provider CMS multiple-procedure payment reduction (MPPR) initiatives. Full Article
Sadigh, G., Hughes, D.R., Wang, W., Allen, B., McGinty, G., Silva, E., Duszak, R. 2017. "Radiologist Professional Payments After Mitigation of CMS’s Multiple-Procedure Payment Reduction Initiatives," Journal of the American College of Radiology
August 10, 2017
The Harvey L. Neiman Health Policy Institute™ annual report for Fiscal Year (FY) 2016. The report highlights several key accomplishments, including the launch of the Inpatient Cost-Evaluation Tool (ICE-T), a Journal of the American College of Radiology (JACR) report on a proposed breast cancer screening bundle and numerous other scientific achievements. Read More
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
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 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 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.