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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.

July 23, 2021

12% of Secondary Imaging Interpretation Costs are Paid by Patients

A new Harvey L. Neiman Health Policy Institute study found that patients paid 12% of the costs of secondary imaging interpretation out-of-pocket. Such secondary interpretations are increasingly performed for complex patients, but patients’ liabilities and paid out-of-pocket costs were not previously known. This Journal of the American College of Radiology (JACR) study was based on 7,740 secondary interpretations for adult patients performed in a large metropolitan health system over a 2-year period. Read More

July 7, 2021

Legislation for Surprise Billing May Decrease In-Network Reimbursement

A new Harvey L. Neiman Health Policy Institute study, published in Radiology, reviewed the implications of unexpected out-of-network balance billing—commonly called surprise billing—on reimbursement for hospital-based specialties such as radiology. The analysis concluded that even physicians who never engaged in such billing practices may still be impacted by the No Surprises Act, which is due to take effect in 2022. Read More

June 22, 2021

Radiologist Characteristics Predict Performance in Screening Mammography

According to a new study, by the Harvey L. Neiman Health Policy Institute and the American College of Radiology’s National Mammography Database Committee, the most influential radiologist characteristics impacting mammography interpretive performance were geography, breast sub-specialization, performance of diagnostic mammography, and performance of diagnostic ultrasound. Read More

May 21, 2021

Radiologist Participation in Value-based Care Tripled Over 5 Years

A new Harvey L. Neiman Health Policy Institute study found that radiologist participation in Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs) increased over three-fold from 10.4% to 34.9% between 2013 and 2018. The study is published online in the Journal of American College of Radiology.
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March 25, 2021

CT Colonography Rates Bolstered by US Preventive Service Task Force Recommendation

Our new study found a 50% increase in screening computed tomography colonography rates after the U.S. Preventive Services Task Force announcement of the updated recommendation on colorectal cancer screening in 2016. This study is published in the American Journal of Preventive Medicine. Read More

March 8, 2021

New Study Reveals Radiologists Now Perform the Majority of Lumbar Punctures in the Medicare Population

A new American Journal of Neurology (AJNR) study found that radiologists performed 54% of lumbar puncture procedures (LPs) in 2017, representing significant growth over the 14 year longitudinal study.  This study evaluated trends in performance of LPs by various medical specialties from 2003 to 2017 and raises the question of whether the shift of LPs from other specialties to radiology is justified. Read More

November 17, 2020

Study Finds that 41% of Radiologists Changed Jobs Over 4 Years

A new study showed that nearly 20% of radiologists separated from a practice in a single year, indicating that radiology is impacted by broader workforce trends toward job hopping. This new Journal of American College of Radiology (JACR) study tracked recent trends and characteristics of radiologist-practice separation across the United States. Read More

October 20, 2020

New Study Exposes Potential Expansion Barriers to Functional MRI for Medicare Patients

A new Harvey L. Neiman Health Policy Institute study found that functional magnetic resonance imaging steadily increased from 2007-2014 but has now been static due to potential expansion barriers. The American Journal of Neuroradiology study is the first of its kind to assess the nationwide adoption of fMRI. Read More

October 1, 2020

Harvey L. Neiman Health Policy Institute Awarded NIH Grant For Stroke Outcomes Research

Harvey L. Neiman Health Policy Institute is pleased to announce that it is part of a team that has been awarded a one-year R56 research grant from the National Institutes of Health entitled, “Comparative Effectiveness of Imaging Strategies in Acute Ischemic Stroke Based on Patient Profiles”. Read More

September 8, 2020

New Study Reveals 75% of Multiple Sclerosis Patients Face Financial Toxicity

A new study from Harvey L. Neiman Health Policy Institute finds that over ¾ of Multiple Sclerosis (MS) patients face financial toxicity that often results in non-adherence to follow up care. This study is the first of its kind to evaluate financial toxicity in MS and whether financial strain is linked to patients foregoing the therapy and imaging follow-up prescribed in their treatment plan. Read More