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The mission of the Harvey L. Neiman Health Policy Institute® is to establish foundational evidence for health policy and radiology practice that promotes the effective and efficient use of health care resources and improves patient care.

Diversity in Radiology: Current Status and Trends Over the Past Decade

There have been growing efforts nationally and institutionally toward diversity in radiology. The purpose of this Radiology study is to analyze sex and racial and ethnic diversity over time (2010–2019) for the various levels of the U.S. academic radiology physician workforce in context of the available pipeline of medical students and trainees. Full Article

Xiao Wu, Suryansh Bajaj, Mihir Khunte, Margarita Revzin, Dheeraj Gandhi, Max Wintermark, Pina Sanelli, Howard Forman, Ajay Malhotra. 2022. "Diversity in Radiology: Current Status and Trends Over the Past Decade," Radiology

Association and Trends in Medicare Denials and Utilization for Brain CT: Indirect Impacts by Targeted Policy Intervention?

Twenty-five years of annual Medicare Physician/Supplier Procedure Summary (PSPS) Master File data were used to assess trends in normalized volume and claim denial rates for brain CT. Alongside growth in utilization of brain CT services, denial rates, fell from 1999-2005 and with relatively leveled growth and less denial rate volatility thereafter. More recent trends in denial rates may be related to policy interventions initially aimed at cost and volume reduction. Full Article

Robert J.French, Jr. MD, Joshua Hirsch, MD, Jennifer Hemingway, MS, Danny R. Hughes, PhD, Reginald Lerebours, MA, Sheng Luo, PhD, Brian C. Allen, MD, Richard Duszak, Jr. MD, David A. Rosman MD, MBA. 2022. "Association and Trends in Medicare Denials and Utilization for Brain CT: Indirect Impacts by Targeted Policy Intervention?," Current Problems in Diagnostic Radiology

Impact of the COVID-19 Pandemic on Breast Imaging: An Analysis of the National Mammography Database

The aim of this study was to quantify the initial decline and subsequent rebound in breast cancer screening metrics throughout the coronavirus disease 2019 (COVID-19) pandemic. Full Article

Lars J. Grimm, MD, MHS, Cindy Lee, MD, Robert D. Rosenberg, MD, Judy Burleson, MHSA, Michael Simanowith, MD, Tom Fruscello, Jr., MBA, Casey E. Pelzl, MPH, Sarah M. Friedewald, MD, Linda Moy, MD, Margarita L. Zuley, MD. 2022. "Impact of the COVID-19 Pandemic on Breast Imaging: An Analysis of the National Mammography Database," Journal of American College of Radiology (JACR)

COVID-19 Pandemic Reduced Utilization Of Interventional Techniques 18.7% In Managing Chronic Pain In The Medicare Population In 2020: Analysis Of Utilization Data From 2000 To 2020

The objectives of this analysis include an evaluation of the impact of the COVID-19 pandemic, as well as an updated assessment of the utilization of interventional techniques in managing chronic pain in the Medicare population from 2010 to 2019, 2010 to 2020, and 2019 to 2020 in the FFS Medicare population of the United States. Full Article

Laxmaiah Manchikanti, MD, Vidyasagar Pampati, MSc, Mahendra R. Sanapati, MD, Radomir Kosanovic, MD, Douglas P. Beall, MD, Sairam Atluri, MD, Salahadin Abdi, MD, PhD, Shalini Shah, MD, Mark V. Boswell, MD, PhD, Alan D. Kaye, MD, PhD, Amol Soin, MD, Christopher G. Gharibo, MD, Bradley W. Wargo, DO, and Joshua A. Hirsch, MD.. 2022. "COVID-19 Pandemic Reduced Utilization Of Interventional Techniques 18.7% In Managing Chronic Pain In The Medicare Population In 2020: Analysis Of Utilization Data From 2000 To 2020," Pain Physician, 25(3)

An Empiric Medicare Claims-Based Utilization Approach to Mitigating the Iodinated Contrast Shortage

The current shortage of iodinated contrast in the United States due to the COVID-19 related production shutdown in China is causing severe disruptions in patient care. A new Harvey L. Neiman Health Policy Institute study outlines the most frequently used computed tomography (CT) services performed on Medicare beneficiaries as focus areas for mitigation strategies for the greatest overall impact. Full Article

Richard Duszak Jr. MD, Jennifer Hemingway, MS, Eric W. Christensen, PhD, Amit M.Saindane, MD, MBA, Danny R.Hughes, PhD, Elizabeth Y. Rula, PhD. 2022. "An Empiric Medicare Claims-Based Utilization Approach to Mitigating the Iodinated Contrast Shortage," Journal of American College of Radiology (JACR), 19(7)

Updated Trends, Disparities, and Clinical Impact of Neuroimaging Utilization in Ischemic Stroke in the Medicare Population: 2012 to 2019

The purpose of this study was to update trends, investigate sociodemographic disparities, and evaluate the impact on mortality of stroke neuroimaging across the United States from 2012 to 2019. Full Article

Jason J. Wang, PhD, Casey E. Pelzl, MPH, Artem Boltyenkov, PhD, Jeffrey M. Katz, MD, Jennifer Hemingway, MS, Eric W. Christensen, PhD, Elizabeth Rula, PhD, Pina C. Sanelli, MD, MPH. 2022. "Updated Trends, Disparities, and Clinical Impact of Neuroimaging Utilization in Ischemic Stroke in the Medicare Population: 2012 to 2019," Journal of American College of Radiology (JACR), 19(7)

Radiology Practices Employing Nurse Practitioners and Physician Assistants: Characteristics and Trends From 2017 Through 2019

The number and roles of US nonphysician practitioners (NPPs) have expanded considerably, but little is known about their use by radiology practices. The authors assessed characteristics and trends of radiology practices employing Medicare-recognized NPPs. Full Article

Stefan Santavicca, MS, Danny R. Hughes, PhD, Andrew B. Rosenkrantz, MD, MPA, Eric Rubin, MD, Richard Duszak Jr., MD. 2022. "Radiology Practices Employing Nurse Practitioners and Physician Assistants: Characteristics and Trends From 2017 Through 2019," Journal of American College of Radiology (JACR)

Recent Trends in High-volume Medicare Stroke Thrombectomy Provider Characteristics

Intracranial mechanical thrombectomy (MT) is increasingly indicated for use in acute ischemic stroke patients. The researchers analyzed recent trends in the characteristics and geographic distributions of physicians providing this service with frequency to Medicare beneficiaries. Full Article

Keshav Jayaraman, Stefan Santavicca, Danny R Hughes, Joshua A Hirsch, Richard Duszak, Jr., Arindam R Chatterjee. 2022. "Recent Trends in High-volume Medicare Stroke Thrombectomy Provider Characteristics," Journal of NeuroInterventional Surgery

Relationship Between Hospital Compliance With Medicare’s Price Transparency Rule, Proposed Cash Prices, and Consumer Ratings for MRI Spine

Between September and October 2021, the researchers manually searched the websites of all hospitals listed in the Medicare Hospital Compare Quality of Care database with publicly available OP-8 scores. OP-8 is a CMS imaging quality metric showing the annual percentage of patients undergoing lumbar spine MRI for back pain in an outpatient facility and was used to identify hospitals offering lumbar spine MRI. Hospital compliance with the CMS price transparency mandate was determined by a multivariable model. Read the study for full details. Full Article

Richard Lin, BS, Richard Duszak Jr., MD, Ruth Carlos, MD, Gelareh Sadigh, MD. 2022. "Relationship Between Hospital Compliance With Medicare’s Price Transparency Rule, Proposed Cash Prices, and Consumer Ratings for MRI Spine," Journal of American College of Radiology (JACR)

Racial and Ethnic Disparities in the Use of Prostate Magnetic Resonance Imaging Following an Elevated Prostate-Specific Antigen Test

In this cohort study of 794,809 commercially insured men from 2011 to 2017 undergoing a prostate-specific antigen test, Black and Hispanic patients were significantly less likely than White patients to undergo prostate magnetic resonance imaging after receiving an elevated test score. Full Article

Nino Abashidze, PhD, Chad Stecher, PhD, Andrew B. Rosenkrantz, MD, MPA, Richard Duszak Jr, MD, Danny R. Hughes, PhD. 2021. "Racial and Ethnic Disparities in the Use of Prostate Magnetic Resonance Imaging Following an Elevated Prostate-Specific Antigen Test," JAMA Network Open