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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.

Health Policy

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

COVID-19 Pandemic-Associated Changes in the Acuity of Brain MRI Findings: A Secondary Analysis of Reports Using Natural Language Processing

We aimed to assess early COVID-19 pandemic-associated changes in brain MRI examination frequency and acuity of imaging findings acuity. Full Article

Taejin L. Min, MD, Liyan Xu, MS,Jinho D.Choi, PhD, Ranliang Hu, MD, Jason W.Allen, MD,PhD, Christopher Reeves, MD, Derek Hsu,MD, Richard Duszak Jr.,MD, Jeffrey Switchenko, PhD, Gelareh Sadigh, MD. 2021. "COVID-19 Pandemic-Associated Changes in the Acuity of Brain MRI Findings: A Secondary Analysis of Reports Using Natural Language Processing," Current Problems in Diagnostic Radiology

September 1, 2021

Facilitating Research and Innovation

New ACR funds will provide members with the opportunities to make meaningful contributions to research that advance the College’s mission.   Read the September ACR Bulletin Research Rounds column.   

Federal Out-of-Network Balance Billing Legislation: Context and Implications for Radiology Practices

Because of its effect on reimbursement rate negotiations between insurance companies and physicians, the No Surprises Act legislation regarding out-of-network balance billing (ie, surprise billing) could have substantial financial and operational impacts on radiology and other hospital-based specialties. Full Article

Richard Heller, MD, Ed Gaines, MD, Naveen Parti, MD, Richard Duszak, MD. 2021. "Federal Out-of-Network Balance Billing Legislation: Context and Implications for Radiology Practices," Radiology

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

Evolving Radiologist Participation in Medicare Shared Savings Program Accountable Care Organizations

The aim of this study was to temporally characterize radiologist participation in Medicare Shared Savings Program (MSSP) accountable care organizations (ACOs). Full Article

Stefan Santavicca, MS, Richard Duszak Jr, MD, Nicola Gregory, MD, Lauren Golding, MD, Andrew Rosenkrantz, MD, Christian Wernz, MD, Danny Hughes, PhD. 2021. "Evolving Radiologist Participation in Medicare Shared Savings Program Accountable Care Organizations," Journal of American College of Radiology (JACR)

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

U.S. Preventive Services Task Force Update and Computed Tomography for Colorectal Cancer Screening Among Privately Insured Population

The Affordable Care Act of 2010 mandated private health plans to fully cover the services recommended by the U.S. Preventive Services Task Force. In June 2016, the Task Force added computed tomography colonography to its list of recommended tests for colorectal cancer screening. This study evaluates the association among the updated recommendation, patient cost-sharing obligations, and the uptake of colorectal cancer screening through computed tomography colonography in the privately insured population. Full Article

Steven Chen, MSPH, Courtney C. Moreno, MD, Richard Duszak Jr., MD, Michal Horny, PhD. 2021. "U.S. Preventive Services Task Force Update and Computed Tomography for Colorectal Cancer Screening Among Privately Insured Population," American Journal of Preventative Medicine