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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.

September 22, 2015

Neiman Health Policy Institute: Medicare Imaging Spending Varies by State, but is Down Significantly

Reston, VA – Medicare per beneficiary medical imaging spending has declined in nearly every state since 2006, according to a new Harvey L. Neiman Health Policy Institute (HPI) study published in the Sept. 2015 issue of American Journal of Roentgenology (AJR). While the reduction varied (sometimes greatly) by state, it mirrored the significant national decline in Medicare imaging spending.

“Several states’ declines far outpace the national decline. Only Oregon and Maryland, which have federal waivers to support unique state health plans, showed increased spending. Ongoing policy initiatives should consider access and clinical outcomes effects due to this variation and widespread reduction in imaging spending,” said lead study author Andrew B. Rosenkrantz, MD.

“State and regional spending variation is often quoted in addressing national imaging policy. Now knowing that such variation almost universally describes spending decline can help policymakers arrive at evidence-based policies that use resources efficiently and preserve access to care,” said study co-author Danny R. Hughes, PhD, research director and senior research fellow, Harvey L. Neiman Health Policy Institute.

In addition to published papers, the “Neiman Almanac”, on the HPI website, offers reporters, researchers and others free online access to the most up to date medical imaging utilization, cost, access and workforce data available. This speeds collection of radiology services data for a number of uses – including news reports, health policy papers and government planning.

To view a how-to video on using the Neiman Almanac, visit

The Neiman Almanac is found at


About the Harvey L. Neiman Health Policy Institute
The Harvey L. Neiman Health Policy Institute is one of the nation’s leading medical imaging socioeconomic research organizations. The Neiman Institute studies the role and value of radiology and radiologists in evolving health care delivery and payment systems and the impact of medical imaging on the cost, quality, safety and efficiency of health care. Visit us at and follow us on Twitter, LinkedIn and Facebook.


Nicole Racadag
Harvey L. Neiman Health Policy Institute