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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.

Utilization

Volume and Coverage of Secondary Imaging Interpretation Under Medicare, 2003 to 2016

The aim of this study was to assess changing Medicare volumes of, and coverage for, secondary interpretations of diagnostic imaging examinations stratified by modality and body region service families. Full Article

Andrew B. Rosenkrantz, MD, MPA, McKinley Glover, MD, MHS, Stella K. Kang, MD, Jennifer Hemingway, MS, Danny R. Hughes, PhD, Richard Duszak Jr, MD. 2018. "Volume and Coverage of Secondary Imaging Interpretation Under Medicare, 2003 to 2016," Journal of the American College of Radiology

Can You Do Health Disparities Research with Publicly Available Datasets?

This paper reviews existing publicly available data sets that may be useful for performing imaging disparities research. Full Article

Hughes, D.R. 2018. "Can You Do Health Disparities Research with Publicly Available Datasets?," Academic Radiology

Radiologist Professional Payments After Mitigation of CMS’s Multiple-Procedure Payment Reduction Initiatives

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

Generalist versus Subspecialist Characteristics of the U.S. Radiologist Workforce

To assess subspecialty practice characteristics of the U.S. radiologist workforce. Despite an increased focus on radiology subspecialization, most U.S. radiologists are majority general radiologists on the basis of their work RVUs. Subspecialization is by far more prevalent in larger and academic practices. Full Article

Rosenkrantz, A.B., Wang, W., Hughes, D.R., Duszak, R. 2017. "Generalist versus Subspecialist Characteristics of the U.S. Radiologist Workforce," Radiology

Physician Specialty and Radiologist Characteristics Associated with Higher Medicare Patient Complexity

Meaningfully measuring physician outcomes and resource utilization requires appropriate patient risk adjustment. We aimed to assess Medicare patient complexity by physician specialty and to further identify radiologist characteristics associated with higher patient complexity. Full Article

Rosenkrantz, A.B., Wang, W., Vijayasarathi, A., Duszak, R. 2017. "Physician Specialty and Radiologist Characteristics Associated with Higher Medicare Patient Complexity," Academic Radiology

Changing Musculoskeletal Extremity Imaging Utilization From 1994 Through 2013: A Medicare Beneficiary Perspective

The objective of the study was to assess temporal changes in the utilization of musculoskeletal extremity imaging in Medicare beneficiaries over a recent 20-year period (1994–2013). Full Article

Gyftopoulos, S., Harkey, P., Hemingway, J., Hughes, D.R., Rosenkrantz, A.B., Duszak, R. 2017. "Changing Musculoskeletal Extremity Imaging Utilization From 1994 Through 2013: A Medicare Beneficiary Perspective," American Journal of Roentgenology

Factors Influencing List Prices for Radiologists’ Services

The study identified factors associated with list price variation for radiologists’ services. Full Article

Rosenkrantz, A.B., Wang, W., Vijayasarathi, A., Duszak, R. 2017. "Factors Influencing List Prices for Radiologists’ Services," Journal of the American College of Radiology

Medicare Utilization of Vertebral Augmentation 2001 to 2014: Effects of Randomized Clinical Trials and Guidelines on Vertebroplasty and Kyphoplasty

The research examined trends in vertebral augmentation performed by radiologists and other specialties in the Medicare population. Full Article

Degnan, A.J., Hemingway, J., Hughes, D.R. 2017. "Medicare Utilization of Vertebral Augmentation 2001 to 2014: Effects of Randomized Clinical Trials and Guidelines on Vertebroplasty and Kyphoplasty," Journal of the American College of Radiology, 14(8): 1001 - 1006.

Changing Medicare Utilization of Minimally Invasive Procedures for the Treatment of Chronic Venous Insufficiency

The study found that utilization of chronic venous insufficiency procedures in the Medicare population increased markedly from 2005 through 2014. Full Article

Prabhakar, A.M., Misono, A.S., Sheth, R.A., Rosenkrantz, A.B., Hemingway, J., Hughes, D.R., Duszak, R. 2017. "Changing Medicare Utilization of Minimally Invasive Procedures for the Treatment of Chronic Venous Insufficiency," Journal of Vascular and Interventional Radiology, 28(6): 818 - 824.

Trends in Publications in Radiology Journals Designated as Relating to Patient-Centered Care

This study assessed trends in publications in radiology journals designated as dealing with patient-centered care. Full Article

Rosenkrantz, A.B., and Rawson, J.V. 2017. "Trends in Publications in Radiology Journals Designated as Relating to Patient-Centered Care," Journal of the American College of Radiology, 14(5): 703 - 709.