The Harvey L. Neiman Health Policy Institute studies the value and role of radiology and radiologists in evolving health care delivery and payment systems. Neiman Institute research provides a foundation for evidence-based imaging policy to improve patient care and bolster efficient, effective use of health care resources.
Radiologists are being asked/required to participate in alternative payment models without data to ascertain their appropriate share of such payments and without knowledge of how to function appropriately in these non-traditional environments. The information needed to respond to the challenges posed is not currently available. The Institute helps all stakeholders understand the “value of radiology” and its role in the healthcare continuum.
The Institute provides accurate data to lawmakers, regulators and payers to help them make informed policy decisions that actually improve care and make it more efficient – rather than rely on current subjective, arbitrary, and blind cost-cutting. The Institute provides radiologists with data helpful in interactions with payers, hospitals and ACOs for capitation contracts and/or bundled episodes of care or other novel payment systems.
The Neiman Institute was established by the American College of Radiology (ACR) in August 2012 to provide credible, objective, and reproducible research to the national health policy debate.
Much of the existing utilization data used by policymakers are out of date. Imaging use in Medicare is down since 2008. Medicare spending on scans is the same now as it was in 2003. Imaging is also the slowest growing of all physician services among privately insured Americans according to the Health Care Cost Institute. Yet, policymakers continue to rely on obsolete and incomplete data to make decisions that impact all Americans.
Also, much of the existing research regarding radiology policy focuses solely on cost and utilization of imaging as standalone end points. This is an incomplete approach. At present, lawmakers and regulators are making policy decisions about medical imaging without knowing the full effects on individual patients or the health care system as a whole. The Institute provides this much needed information and help ensure that future imaging policies benefit patients and make efficient and effective use of health care resources.
Harvey Neiman, MD, was an outstanding physician, effective leader and respected medical scholar who dedicated his professional career to improving patient care. He was one of the leading minds in medicine regarding radiology and medical imaging policy and economics. ACR is proud that this research institute bears the name of such a distinguished colleague.