Skip to archived articles

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

April 21, 2022

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)

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

December 20, 2021

The Future of Prostate Cancer

The ACR’s research efforts are paving the way for precision in prostate cancer diagnosis and treatment.  This research is studying how to improve diagnostic efficiency and accuracy including the use of patients’ genetic data to help determine the best course of treatment.   Read the JACR Bulletin Column    

Secondary Interpretations of Diagnostic Imaging Examinations: Patient Liabilities and Out-of-Pocket Costs

Secondary interpretations of diagnostic imaging examinations are increasingly performed to improve care for complex patients. This study sought to determine associated patient-billed liabilities and out-of-pocket payments and to identify patient and imaging study characteristics that correlate with higher patient bills and out-of-pocket payments. Full Article

Sean P. Doyle, MD, Richard Duszak Jr, MD, Marta E. Heilbrun, MD, Amit M. Saindane, MD, MBA, Gelareh Sadigh, MD. 2021. "Secondary Interpretations of Diagnostic Imaging Examinations: Patient Liabilities and Out-of-Pocket Costs," Journal of American College of Radiology (JACR)

Comparison of Radiologists and Other Specialists in the Performance of Lumbar Puncture Procedures Over Time

Lumbar punctures may be performed by many different types of health care providers. This study evaluates the percentages of lumbar punctures performed by radiologists-versus-nonradiologist providers, including changes with time and discrepancies between specialties. Full Article

D.R. Johnson, MD, Mikki Waid, PhD, Danny R. Hughes, PhD, Andrew B. Rosenkrantz, MD, Richard Duszak, MD. 2021. "Comparison of Radiologists and Other Specialists in the Performance of Lumbar Puncture Procedures Over Time," American Journal of Neuroradiology

Radiologist Characteristics Associated with Interpretive Performance of Screening Mammography: A National Mammography Database (NMD) Study

Across radiologists nationally, geography, breast subspecialization, and performance of diagnostic mammography are associated with better screening mammography performance; performance of breast US is associated with lower performance. Factors affecting radiologists’ performance in screening mammography interpretation remain poorly understood. The purpose of this study it to identify radiologists characteristics that affect screening mammography interpretation performance. Full Article

Cindy Lee, MD, Linda Moy, MD, Hughes R. Danny, PhD, Dan Golden, Mythreyi Bhargavan-Chatfield, PhD, Jennifer Hemingway, MS, Agnieszka Geras, Richard Duszak, MD, Andrew Rosenkrantz, MD. 2021. "Radiologist Characteristics Associated with Interpretive Performance of Screening Mammography: A National Mammography Database (NMD) Study," Radiology

Longitudinal Changes of Financial Hardship in Patients with Multiple Sclerosis

To measure the longitudinal changes in three domains of financial hardship (i.e., financial worry, cost-related care non-adherence, material hardship) in patients with MS. Full Article

Gelareh Sadigh, MD, Jeffrey Switchenko, MD, Neil Lava, MD, Richard Duszak Jr, MD, Elizabeth A. Krupinski, MD, Carolyn C. Meltzer, MD, Ruth C. Carlos, MD. 2021. "Longitudinal Changes of Financial Hardship in Patients with Multiple Sclerosis," Multiple Sclerosis