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.

Utilization

Characteristics of Coronavirus Disease 2019 (COVID-19) Community Practice Declines in Noninvasive Diagnostic Imaging Professional Work

The operational and financial impact of the widespread coronavirus disease 2019 (COVID-19) curtailment of imaging services on radiology practices is unknown. We aimed to characterize recent COVID-19-related community practice noninvasive diagnostic imaging professional work declines. The authors used imaging metadata from nine community radiology practices across the United States between January 2019 and May 2020, and mapped work relative value unit (wRVU)-weighted stand-alone noninvasive diagnostic imaging service codes to both modality and body region. Full Article

Richard Duszak Jr, MD, Jeff Maze, MB, Candice Sessa, MS, Howard B. Fleishon, MD, Lauren P. Golding, MD, Gregory N. Nicola, MD, Danny R. Hughes, Ph. 2020. "Characteristics of Coronavirus Disease 2019 (COVID-19) Community Practice Declines in Noninvasive Diagnostic Imaging Professional Work," Journal of American College of Radiology (JACR)

Invasive Procedural Versus Diagnostic Imaging and Clinical Services Rendered by Radiology Trainees Over Two Decades

The purpose of this study is to characterize evolving radiology trainee exposure to invasive procedures. Full Article

Andrew B. Rosenkrantz, MD, MPA, C. Matthew Hawkins, MD, Lori A. Deitte, MD, Jennifer Hemingway, MS, Danny R. Hughes, PhD, Richard Duszak Jr, MD. 2019. "Invasive Procedural Versus Diagnostic Imaging and Clinical Services Rendered by Radiology Trainees Over Two Decades," Journal of American College of Radiology (JACR), 16(6)

Volume and Coverage of Secondary Imaging Interpretation Under Medicare, 2003 to 2016

The aim of this study was to assess changing Medicare volumes of, and coverage for, secondary interpretations of diagnostic imaging examinations stratified by modality and body region service families. Full Article

Andrew B. Rosenkrantz, MD, MPA, McKinley Glover, MD, MHS, Stella K. Kang, MD, Jennifer Hemingway, MS, Danny R. Hughes, PhD, Richard Duszak Jr, MD. 2018. "Volume and Coverage of Secondary Imaging Interpretation Under Medicare, 2003 to 2016," Journal of the American College of Radiology

Can You Do Health Disparities Research with Publicly Available Datasets?

This paper reviews existing publicly available data sets that may be useful for performing imaging disparities research. Full Article

Hughes, D.R. 2018. "Can You Do Health Disparities Research with Publicly Available Datasets?," Academic Radiology

Radiologist Professional Payments After Mitigation of CMS’s Multiple-Procedure Payment Reduction Initiatives

The aim of this study was to assess the potential impact of ACR evidence-based advocacy on radiologist professional reimbursement from individual-provider CMS multiple-procedure payment reduction (MPPR) initiatives. Full Article

Sadigh, G., Hughes, D.R., Wang, W., Allen, B., McGinty, G., Silva, E., Duszak, R. 2017. "Radiologist Professional Payments After Mitigation of CMS’s Multiple-Procedure Payment Reduction Initiatives," Journal of the American College of Radiology

Generalist versus Subspecialist Characteristics of the U.S. Radiologist Workforce

To assess subspecialty practice characteristics of the U.S. radiologist workforce. Despite an increased focus on radiology subspecialization, most U.S. radiologists are majority general radiologists on the basis of their work RVUs. Subspecialization is by far more prevalent in larger and academic practices. Full Article

Rosenkrantz, A.B., Wang, W., Hughes, D.R., Duszak, R. 2017. "Generalist versus Subspecialist Characteristics of the U.S. Radiologist Workforce," Radiology

Physician Specialty and Radiologist Characteristics Associated with Higher Medicare Patient Complexity

Meaningfully measuring physician outcomes and resource utilization requires appropriate patient risk adjustment. We aimed to assess Medicare patient complexity by physician specialty and to further identify radiologist characteristics associated with higher patient complexity. Full Article

Rosenkrantz, A.B., Wang, W., Vijayasarathi, A., Duszak, R. 2017. "Physician Specialty and Radiologist Characteristics Associated with Higher Medicare Patient Complexity," Academic Radiology

Changing Musculoskeletal Extremity Imaging Utilization From 1994 Through 2013: A Medicare Beneficiary Perspective

The objective of the study was to assess temporal changes in the utilization of musculoskeletal extremity imaging in Medicare beneficiaries over a recent 20-year period (1994–2013). Full Article

Gyftopoulos, S., Harkey, P., Hemingway, J., Hughes, D.R., Rosenkrantz, A.B., Duszak, R. 2017. "Changing Musculoskeletal Extremity Imaging Utilization From 1994 Through 2013: A Medicare Beneficiary Perspective," American Journal of Roentgenology

Factors Influencing List Prices for Radiologists’ Services

The study identified factors associated with list price variation for radiologists’ services. Full Article

Rosenkrantz, A.B., Wang, W., Vijayasarathi, A., Duszak, R. 2017. "Factors Influencing List Prices for Radiologists’ Services," Journal of the American College of Radiology

Medicare Utilization of Vertebral Augmentation 2001 to 2014: Effects of Randomized Clinical Trials and Guidelines on Vertebroplasty and Kyphoplasty

The research examined trends in vertebral augmentation performed by radiologists and other specialties in the Medicare population. Full Article

Degnan, A.J., Hemingway, J., Hughes, D.R. 2017. "Medicare Utilization of Vertebral Augmentation 2001 to 2014: Effects of Randomized Clinical Trials and Guidelines on Vertebroplasty and Kyphoplasty," Journal of the American College of Radiology, 14(8): 1001 - 1006.