Latest News from: Harvey L. Neiman Health Policy Institute

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19-Nov-2024 10:35 AM EST
NPP Imaging Interpretation Share More Than Doubled between 2013 and 2022
Harvey L. Neiman Health Policy Institute

A new Harvey L. Neiman Health Policy Institute study found non-physician practitioners’ (NPPs) share of imaging interpretation in office-based practices increased 117%, from 2.52% of Medicare imaging studies in 2013 to 5.47% in 2022. Interpretations by NPPs are performed by a small minority (5.55%) of NPPs with considerable variation by imaging modality and state.

21-Oct-2024 11:15 AM EDT
Radiologists are Participating in Less Resident Training as Workloads Increase, New Study Shows
Harvey L. Neiman Health Policy Institute

According to new research from the Harvey L. Neiman Health Policy Institute, radiologists who teach residents are spending significantly less time each year in that teaching role. The study, published today in the Journal of The American College of Radiology, tracked the workload of 35,595 radiologists in Medicare Part B claims data from 2008 to 2020. As a percentage of total clinical workload measured in relative value units, work that involved resident training dropped from 35.3% in 2008 to 26.3% in 2019. In 2020, when the COVID-19 pandemic hit the U.S., the teaching share of work dropped further to 24.5%.

Released: 2-Oct-2024 5:05 PM EDT
Neurointerventionalists May Rarely Recover Payment for Out of Network Mechanical Thrombectomy Under the No Suprises Act
Harvey L. Neiman Health Policy Institute

A new Harvey L. Neiman Health Policy Institute study found that neurointerventionalists, who often deliver lifesaving and disability-sparing treatments for emergency stroke cases, have essentially no financially viable access to payment recovery through the No Surprises Act (NSA) for professional mechanical thrombectomy (MT) out-of-network (OON) claims.

Released: 20-Aug-2024 5:05 PM EDT
Heat Vulnerability Linked to Worse Stroke Severity, Offering a New Metric for Stroke Risk Amidst Climate Change
Harvey L. Neiman Health Policy Institute

A new Harvey L. Neiman Health Policy Institute (HPI) study found that living in a neighborhood with higher vulnerability to environmental heat predicted worse stroke severity. Investigators from HPI’s PRIME research center at Northwell Health, the largest health system in New York state, evaluated all acute ischemic stroke admissions to Northwell’s comprehensive stroke center over a decade.

8-Aug-2024 2:00 PM EDT
Women Travel Nearly 3 Times as Far for Supplemental MR or US Breast Cancer Screening than for Mammography, Limiting Access for Those at Higher Risk
Harvey L. Neiman Health Policy Institute

A new Harvey L. Neiman Health Policy Institute study found the geographic distance to facilities providing breast MR or ultrasound was more than 2.7 times further than the distance to a mammography center. Given new breast density guidelines, now approximately one in two women (those who have dense breast tissue) are recommended to have supplemental breast cancer screening by breast MR or ultrasound due to their relatively higher breast cancer risk. The research, published in the American Journal of Preventive Medicine, measured distance to the nearest facility offering mammography, breast MR and/or breast ultrasound for 29,629 ZIP codes. The researchers compared distance between imaging types to reveal the relative extent of this barrier to access and to inform approaches to mitigate disparities.

Released: 11-Jul-2024 1:05 PM EDT
Proposed Radiation Oncology Bundled Payments Produce Medicare Savings with Goal of Stabilizing Reimbursement
Harvey L. Neiman Health Policy Institute

A new study by researchers from Mayo Clinic and the Harvey L. Neiman Health Policy Institute demonstrates the impact on reimbursement of a value-based payment model, the Radiation Oncology Case Rate (ROCR). A bipartisan bill introduced to Congress this May includes ROCR to protect access, reduce disparities and improve outcomes in cancer treatment.

27-Jun-2024 12:45 PM EDT
Imaging Market Share Analysis Shows 28% of Image Interpretation Performed by Non-Radiologists
Harvey L. Neiman Health Policy Institute

A new Harvey L. Neiman Health Policy Institute study found that radiologists interpreted 72.1% of all imaging studies for Medicare fee-for-service beneficiaries in 2022, with the remaining 27.9% performed by other types of clinicians.

Newswise: The Harvey L. Neiman Health Policy Institute Launches Cancer Equity Compass
19-Jun-2024 4:30 PM EDT
The Harvey L. Neiman Health Policy Institute Launches Cancer Equity Compass
Harvey L. Neiman Health Policy Institute

The Harvey L. Neiman Health Policy Institute announces the public launch of a new online tool that reveals the overlap between cancer disparities and social determinants of health (SDOH) using advanced heat maps of U.S. counties. The Cancer Equity Compass can identify high-opportunity targets for policies and programs to achieve equitable health outcomes in underserved populations.

4-Jun-2024 12:30 PM EDT
Consolidation Patterns of Practices with Radiologists through 2023
Harvey L. Neiman Health Policy Institute

A new Harvey L. Neiman Health Policy Institute study found that from 2014 to 2023 the number of medical practices with affiliated radiologists decreased 14.7% even though the number of radiologists increased 17.3%. As such, the average number of radiologists per practice increased from 9.7 to 17.9 over the study.

Released: 26-Apr-2024 9:50 AM EDT
Continued Medicare Reimbursement Declines Could Threaten Access to Physicians
Harvey L. Neiman Health Policy Institute

A new Harvey L. Neiman Health Policy Institute study found that physician reimbursement per Medicare patient decreased 2.3% between 2005 and 2021 when accounting for inflation, despite a concurrent increase of 45.5% in physician services to each patient. These reimbursement trends varied widely by physician specialty (-57.6% for cardiac surgery to +189.1% for pain management).

Released: 10-Apr-2024 4:05 PM EDT
Low DXA Screening Rates Among Asian American Medicare Beneficiaries
Harvey L. Neiman Health Policy Institute

A new study by researchers at NYU Langone Health, Massachusetts General Hospital, and the Harvey L. Neiman Health Policy Institute found lower rates of osteoporosis screening among Asian American (15%) and other non-white Medicare beneficiaries (11-15%) in the U.S. when compared with the screening rate among white beneficiaries (18%).

2-Apr-2024 10:00 AM EDT
Radiologists at Major Disadvantage in MIPS when Working in Radiology-Focused Practices, According to New Study
Harvey L. Neiman Health Policy Institute

The latest Harvey L. Neiman Health Policy Institute (HPI) 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.

Released: 28-Mar-2024 12:45 PM EDT
New Study Finds a 67% Increase in Neurovascular Imaging Use for Headache and Dizziness in the Emergency Department
Harvey L. Neiman Health Policy Institute

New research demonstrates that the use of CT angiography (CTA) for patients with headache or dizziness increased dramatically over 5 years in the emergency department (ED) of a large medical center. Simultaneously the rate of positive findings on those same exams decreased. 

26-Mar-2024 12:15 PM EDT
Imaging’s Share of Aggregate Healthcare Spending has Declined Since 2010
Harvey L. Neiman Health Policy Institute

Medical imaging has previously been identified as a potential driver of U.S. healthcare spending growth. A study by the Harvey L. Neiman Health Policy Institute evaluated the degree to which imaging has contributed to aggregate medical cost growth.

Released: 8-Mar-2024 12:05 PM EST
Researchers Identify “Hidden” Interventional Radiologists in Data, Expanding Opportunities for Research
Harvey L. Neiman Health Policy Institute

Seventy-six percent of interventional radiologists (IRs) identified using a new research method were mislabeled as diagnostic radiologists in Medicare data, according to the latest study from the Harvey L. Neiman Health Policy Institute (HPI), supported by the Society of Interventional Radiology (SIR).

Released: 24-Jan-2024 9:30 AM EST
Introducing the Neiman Imaging Comorbidity Index: An Adjustment Tool for Predicting Advanced Imaging Use
Harvey L. Neiman Health Policy Institute

A new Harvey L. Neiman Health Policy Institute study developed a first-of-its-kind comorbidity index predictive of utilization of advanced imaging.

   
Released: 19-Jan-2024 10:05 AM EST
Only 1% of Radiologist Claims were Out of Network in 2021
Harvey L. Neiman Health Policy Institute

A new Harvey L. Neiman Health Policy Institute study found that, by 2021, only 1.1% of radiologists’ commercial claims were out of network (OON), down from 12.6% in 2007. As such, by 2021, radiologists practiced almost exclusively in-network. This Journal of the American College of Radiology study was based on 80 million commercial radiology claims (2007-2021) for individuals covered by a large commercial payer.

Released: 17-Jan-2024 10:05 AM EST
Clinicians Lose more than they Can Expect to Gain when Challenging Insurer Payments Under the No Surprises Act
Harvey L. Neiman Health Policy Institute

A new Harvey L. Neiman Health Policy Institute study found that clinicians who dispute insurer payments under the No Surprises Act (NSA) will typically pay fees in excess of recovered payments. Across affected medical specialties, only one-half to two-thirds of out of network (OON) claims would result in any net return if submitted through the NSA’s Independent Dispute Resolution Process (IDR) process, demonstrating this is not a financially viable option to resolve payment disputes. This American Journal of Roentgenology study was based on 1.5 million commercial OON claims (2017-2021) for individuals covered by a large commercial payer and focused on specialties most affected by the NSA: anesthesiology, emergency medicine, hospitalist, intensivist, laboratory, neonatology, pathology, and radiology.

14-Oct-2023 3:00 PM EDT
AI Medical Imaging Products Estimated to Increase Five-Fold by 2035
Harvey L. Neiman Health Policy Institute

A Harvey L. Neiman Health Policy Institute (HPI) and American College of Radiology® (ACR®) Data Science Institute (DSI) study projects that new U.S. Food and Drug Administration (FDA)-approved artificial intelligence (AI) medical imaging products will increase five-fold by 2035.

Newswise: New 2.0 Beta Version of the Neiman Almanac from Harvey L. Neiman Health Policy Institute
10-Oct-2023 8:00 PM EDT
New 2.0 Beta Version of the Neiman Almanac from Harvey L. Neiman Health Policy Institute
Harvey L. Neiman Health Policy Institute

The Harvey L. Neiman Health Policy Institute has announced the release of Neiman Almanac 2.0. The Neiman Almanac is an online public resource that provides imaging-focused Medicare data back to 2004, including national and state trends in spending and utilization.



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