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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.

Access & Quality

Relationship between Race and Access to Newer Mammographic Technology in Women with Medicare Insurance

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

Impact of the COVID-19 Pandemic on Breast Imaging: An Analysis of the National Mammography Database

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)

An Empiric Medicare Claims-Based Utilization Approach to Mitigating the Iodinated Contrast Shortage

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)

Updated Trends, Disparities, and Clinical Impact of Neuroimaging Utilization in Ischemic Stroke in the Medicare Population: 2012 to 2019

The purpose of this study was to update trends, investigate sociodemographic disparities, and evaluate the impact on mortality of stroke neuroimaging across the United States from 2012 to 2019. Full Article

Jason J. Wang, PhD, Casey E. Pelzl, MPH, Artem Boltyenkov, PhD, Jeffrey M. Katz, MD, Jennifer Hemingway, MS, Eric W. Christensen, PhD, Elizabeth Rula, PhD, Pina C. Sanelli, MD, MPH. 2022. "Updated Trends, Disparities, and Clinical Impact of Neuroimaging Utilization in Ischemic Stroke in the Medicare Population: 2012 to 2019," Journal of American College of Radiology (JACR), 19(7)

April 21, 2022

Research Rounds: Price Transparency: Progress or Problems?

Consumer price listings may ultimately give consumers less of what they really want — high quality care. While transparent pricing is theoretically ideal for allowing patients to make informed decisions, the complexity of healthcare in the U.S. makes a truly transparent system a challenge and there are numerous caveats. Read the JACR Bulletin Column

Radiology Practices Employing Nurse Practitioners and Physician Assistants: Characteristics and Trends From 2017 Through 2019

The number and roles of US nonphysician practitioners (NPPs) have expanded considerably, but little is known about their use by radiology practices. The authors assessed characteristics and trends of radiology practices employing Medicare-recognized NPPs. Full Article

Stefan Santavicca, MS, Danny R. Hughes, PhD, Andrew B. Rosenkrantz, MD, MPA, Eric Rubin, MD, Richard Duszak Jr., MD. 2022. "Radiology Practices Employing Nurse Practitioners and Physician Assistants: Characteristics and Trends From 2017 Through 2019," Journal of American College of Radiology (JACR)

March 4, 2022

Which Radiology Practices are Employing Nurse Practitioners and Physician Assistants?

The number and roles of US nonphysician practitioners (NPPs) have expanded considerably, but little is known about their use by radiology practices. The authors assessed characteristics and trends of radiology practices employing Medicare-recognized NPPs.

Recent Trends in High-volume Medicare Stroke Thrombectomy Provider Characteristics

Intracranial mechanical thrombectomy (MT) is increasingly indicated for use in acute ischemic stroke patients. The researchers analyzed recent trends in the characteristics and geographic distributions of physicians providing this service with frequency to Medicare beneficiaries. Full Article

Keshav Jayaraman, Stefan Santavicca, Danny R Hughes, Joshua A Hirsch, Richard Duszak, Jr., Arindam R Chatterjee. 2022. "Recent Trends in High-volume Medicare Stroke Thrombectomy Provider Characteristics," Journal of NeuroInterventional Surgery

Relationship Between Hospital Compliance With Medicare’s Price Transparency Rule, Proposed Cash Prices, and Consumer Ratings for MRI Spine

Between September and October 2021, the researchers manually searched the websites of all hospitals listed in the Medicare Hospital Compare Quality of Care database with publicly available OP-8 scores. OP-8 is a CMS imaging quality metric showing the annual percentage of patients undergoing lumbar spine MRI for back pain in an outpatient facility and was used to identify hospitals offering lumbar spine MRI. Hospital compliance with the CMS price transparency mandate was determined by a multivariable model. Read the study for full details. Full Article

Richard Lin, BS, Richard Duszak Jr., MD, Ruth Carlos, MD, Gelareh Sadigh, MD. 2022. "Relationship Between Hospital Compliance With Medicare’s Price Transparency Rule, Proposed Cash Prices, and Consumer Ratings for MRI Spine," Journal of American College of Radiology (JACR)

Racial and Ethnic Disparities in the Use of Prostate Magnetic Resonance Imaging Following an Elevated Prostate-Specific Antigen Test

In this cohort study of 794,809 commercially insured men from 2011 to 2017 undergoing a prostate-specific antigen test, Black and Hispanic patients were significantly less likely than White patients to undergo prostate magnetic resonance imaging after receiving an elevated test score. Full Article

Nino Abashidze, PhD, Chad Stecher, PhD, Andrew B. Rosenkrantz, MD, MPA, Richard Duszak Jr, MD, Danny R. Hughes, PhD. 2021. "Racial and Ethnic Disparities in the Use of Prostate Magnetic Resonance Imaging Following an Elevated Prostate-Specific Antigen Test," JAMA Network Open