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.
The aim of this study was to assess relationships between county-level variation in Medicare beneficiary imaging resource consumption and measures of population economic status. Full Article
Rosenkrantz, A.B., Hughes, D.R., Prabhakar, A.M., and Duszak, R. 2017. "County-Level Population Economic Status and Medicare Imaging Resource Consumption," Journal of the American College of Radiology
This paper studied differences in imaging utilization downstream to initial emergency department (ED) ultrasound examinations interpreted by radiologists versus nonradiologists. Full Article
Allen, B., Carrol, L.V., Hughes, D., Hemingway, J., Duszak, R., and Rosenkrantz, A.B. 2017. "Downstream Imaging Utilization After Emergency Department Ultrasound Interpreted by Radiologists Versus Nonradiologists: A Medicare Claims–Based Study," Journal of the American College of Radiology, 14(4): 475 - 481.
This study assessed features of patient satisfaction scores for U.S. radiologists using a popular physician rating website. Full Article
Rosenkrantz, A.B., Ginocchio, L., and Duszak Jr, R. 2017. "How Satisfied Are Patients With Their Radiologists? Assessment Using a National Patient Ratings Website," American Journal of Roentgenology, 208(5)
This study evaluates the impact of an array of nongeographic patient and within-year temporal factors on variation in Medicare imaging utilization. Full Article
Rosenkrantz, A.B., Schoppe, K.A., and Duszak, R. 2017. "Temporal and Patient Variations Potentially Impacting New Payment Models," Journal of the American College of Radiology, 14(4): 452 - 458.
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 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.