To report osteoporosis screening utilization rates among Asian American (AsA) populations in the USA. The study found lower than expected DXA screening rates for AsA patients. A better understanding of the barriers and facilitators to AsA osteoporosis screening is needed to improve patient care. Full Article
Soterios Gyftopoulos, Casey E. Pelzl, Madalena Da Silva Cardoso, Juliana Xie, Simona C. Kwon & Connie Y. Chang. 2024. "Bone Density Screening Rates Among Medicare Beneficiaries: An Analysis with a focus on Asian Americans," Skeletal Radiology
The study shows that radiologists in radiology-only practices score significantly lower in the Centers for Medicare & Medicaid Services (CMS) Merit-based Incentive Payment System (MIPS) in 2021. The researchers found that radiologists in multispecialty practices score higher, but rarely report any radiology-relevant MIPS quality measures, and instead report measures relevant to other specialties. The findings were published in the American Journal of Roentgenology. Full Article
YoonKyung Chung, PhD, Lauren P. Nicola, MD, Chi-Mei Liu, PhD, and Elizabeth Y. Rula, PhD. 2024. "Radiologists’ 2021 Quality Reporting and Performance in Medicare’s Merit-Based Incentive Payment System: Analysis by Practice Type," American Journal of Roentgenology
August 14, 2023
Gender-Based Disparity in Acute Stroke Imaging Utilization and the Impact on Treatment and Outcomes: 2012 to 2021. Read the JACR study for full details.
We aimed to assess the changing share of diagnostic imaging billed by NPPs and how such changes differ by urbanicity within the context of scope-of-practice regulations and legislation. Full Article
Casey E. Pelzl MPH, Elizabeth Y. Rula PhD, Richard Duszak Jr MD, Eric W. Christensen PhD. 2023. "Trends in Diagnostic Imaging by Nonphysician Practitioners and Associations With Urbanicity and Scope-of-Practice Authority," Current Problems in Diagnostic Radiology
Lung cancer screening does not require patient cost-sharing for insured people in the U.S. Little is known about whether other factors associated with patient selection into different insurance plans affect screening rates. We examined screening rates for enrollees in commercial, Medicare Fee-for-Service (FFS), and Medicare Advantage plans. Considerable variation exists in lung cancer screening between different payers and across patient characteristics. Efforts targeting historically vulnerable populations could present opportunities to increase screening. Full Article
Danny R. Hughes, PhD; Jie Chen, PhD; Alexandra E. Wallace, MS; Shubhsri Rajendra, MS; Stefan Santavicca, MS; Richard Duszak Jr., MD; Elizabeth Y. Rula, PhD; Robert A. Smith, PhD. 2023. "Comparison of Lung Cancer Screening Eligibility and Use between Commercial, Medicare, and Medicare Advantage Enrollees," Journal of American College of Radiology (JACR), 20(4)
Out-of-pocket costs (OOPCs) have been largely eliminated for screening mammography. However, patients still face OOPCs when undergoing subsequent diagnostic tests after the initial screening, which represents a potential barrier to those who require follow-up testing after initial testing. This study examines the association between the degree of patient cost-sharing and the use of diagnostic breast cancer imaging after undergoing a screening mammogram. Full Article
Danny R. Hughes, PhD; William Espinoza, MS; Sarah Fein, MS; Elizabeth Y. Rula, PhD; Geraldine McGinty, MD, MBA. 2023. "Patient Cost-Sharing and Utilization of Breast Cancer Diagnostic Imaging by Patients Undergoing Subsequent Testing After a Screening Mammogram," JAMA Network Open
Reported breast cancer screening among American Indian women is consistently below that of White women. The last claims-based trends were from 1991 to 2001. This study updates mammography trends for American Indian women and examines the impact of race, urbanicity, and income on long-term mammography use. Full Article
Eric W. Christensen, PhD Casey E. Pelzl, MPH Bhavika K. Patel, MD Ruth C. Carlos, MD, MS Elizabeth Y. Rula, PhD. 2023. "Urbanicity, Income, and Mammography-Use Disparities Among American Indian Women," American Journal of Preventive Medicine, 64(5)
This study in Radiology examines the relationship between use of newer mammographic technology and race in women receiving mammography services. This was a multiyear (January 2005 to December 2020) retrospective study of women aged 40–89 years with Medicare fee-for-service insurance who underwent mammography. Full Article
Eric W. Christensen, Mikki Waid, Jinel Scott, Bhavika K. Patel, Jacqueline A. Bello, Elizabeth Y. Rula. 2022. "Relationship between Race and Access to Newer Mammographic Technology in Women with Medicare Insurance," Radiology
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)
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)
