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.
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.
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 examines changes in utilization of computed tomography (CT) angiography nationally and changing relative specialty roles in examination interpretation. Full Article
Prabhakar, A.M., Misono A.S., Hemingway, J., Hughes, D.R., Duszak Jr, R. 2016. "Medicare Utilization of CT Angiography from 2001 through 2014: Continued Growth by Radiologists," Journal of Vascular and Interventional Radiology, 27(10): 1554 - 1560.
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.
The aim of this study was to quantify the association between health information exchange use and cost savings attributable to repeat imaging. Full Article
Hye-Young , J., Vest, JR., Unruh, MA., Kern, LM., and Kaushal, R. 2015. "Use of Health Information Exchange and Repeat Imaging Costs," Journal of the American College of Radiology, 12(12): 1364 - 1370.
The purpose of this study was to better understand trends in utilization and costs of diagnostic imaging services at Magnet hospitals and non-Magnet hospitals. Full Article
Jayawardhana, J., and Welton, J.M. 2015. "Diagnostic Imaging Services in Magnet and Non-Magnet Hospitals: Trends in Utilization and Costs," Journal of the American College of Radiology, 12(12): 1357 - 1363.
This study aimed to summarize the impact of image sharing technologies on patient imaging utilization. Full Article
Vest, JR., Hye-Young, J., Ostrovsky, A., Das, L.T., and McGinty, G.B.. 2015. "Image Sharing Technologies and Reduction of Imaging Utilization: A Systematic Review and Meta-analysis," Journal of the American College of Radiology, 12(12): 1371 - 1379.