Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Showing content from https://pubmed.ncbi.nlm.nih.gov/26614883/ below:

Advanced Imaging Utilization Trends in Privately Insured Patients From 2007 to 2013

Affiliations

• ¹ Boston University School of Public Health, Boston, Massachusetts. Electronic address: mhorny@bu.edu.
• ² Boston University School of Public Health, Boston, Massachusetts; US Department of Veterans Affairs, Center for Healthcare Organization and Implementation Research, Boston, Massachusetts.
• ³ Boston University Questrom School of Business, Boston, Massachusetts.

• PMID: 26614883
• DOI: 10.1016/j.jacr.2015.09.013

Item in Clipboard

Michal Horný et al. J Am Coll Radiol. 2015 Dec.

• ¹ Boston University School of Public Health, Boston, Massachusetts. Electronic address: mhorny@bu.edu.
• ² Boston University School of Public Health, Boston, Massachusetts; US Department of Veterans Affairs, Center for Healthcare Organization and Implementation Research, Boston, Massachusetts.
• ³ Boston University Questrom School of Business, Boston, Massachusetts.

• PMID: 26614883
• DOI: 10.1016/j.jacr.2015.09.013

Item in Clipboard

Objective: The aim of the study was to investigate whether the increase in utilization of advanced diagnostic imaging for privately insured patients in 2011 was the beginning of a new trend in imaging utilization growth, or an isolated deviation from the declining trend that began in 2008.

Methods: We extracted outpatient and inpatient CT, diagnostic ultrasound, MRI, and PET procedures from databases, for the years 2007 to 2013. This study extended previous work, covering 2012 to 2013, using the same methodology. For every year of the study period, we calculated the following: number of procedures per person-year covered by private health insurance; proportion of office and emergency visits that resulted in an imaging session; average payments per procedure; and total payments per person-year covered by private health insurance.

Results: Outpatient utilization of CT and PET decreased in both 2012 and 2013; outpatient utilization of MRI mildly increased in 2012, but then decreased in 2013. Outpatient utilization of diagnostic ultrasound showed a very different pattern, increasing throughout the study period. Inpatient utilization of all imaging modalities except PET decreased in both 2012 and 2013. Adjusted payments for all imaging modalities increased in 2012, and then dropped substantially in 2013, except the adjusted payments for diagnostic ultrasound that increased in 2013 again.

Conclusions: The trend of increasing utilization of advanced diagnostic imaging seems to be over for some, but not all, imaging modalities. A combination of policy (eg, breast density notification laws), technologic advancement, and wider access seems to be responsible for at least part of an increasing utilization of diagnostic ultrasound.

Keywords: Diagnostic imaging utilization; payments; private insurance.

Copyright © 2015 American College of Radiology. All rights reserved.

PubMed Disclaimer

• Advanced diagnostic imaging in privately insured patients: recent trends in utilization and payments.

  Horný M, Burgess JF Jr, Horwitt J, Cohen AB. Horný M, et al. J Am Coll Radiol. 2014 Jul;11(7):692-7. doi: 10.1016/j.jacr.2014.01.019. Epub 2014 May 9. J Am Coll Radiol. 2014. PMID: 24813748

• The effect of a no-denial policy on imaging utilization.

  Robinson JD, Hippe DS, Hiatt MD. Robinson JD, et al. J Am Coll Radiol. 2013 Jul;10(7):501-6. doi: 10.1016/j.jacr.2013.01.022. Epub 2013 Apr 28. J Am Coll Radiol. 2013. PMID: 23632131

• Association between availability of health service prices and payments for these services.

  Whaley C, Schneider Chafen J, Pinkard S, Kellerman G, Bravata D, Kocher R, Sood N. Whaley C, et al. JAMA. 2014 Oct 22-29;312(16):1670-6. doi: 10.1001/jama.2014.13373. JAMA. 2014. PMID: 25335149

• Trends in charges and payments for nonhospitalized emergency department pediatric visits, 1996-2003.

  Hsia RY, MacIsaac D, Palm E, Baker LC. Hsia RY, et al. Acad Emerg Med. 2008 Apr;15(4):347-54. doi: 10.1111/j.1553-2712.2008.00075.x. Acad Emerg Med. 2008. PMID: 18370988

• Patterns of Surveillance Advanced Imaging and Serum Tumor Biomarker Testing Following Launch of the Choosing Wisely Initiative.

  Miles RC, Lee CI, Sun Q, Bansal A, Lyman GH, Specht JM, Fedorenko CR, Greenwood-Hickman MA, Ramsey SD, Lee JM. Miles RC, et al. J Natl Compr Canc Netw. 2019 Jul 1;17(7):813-820. doi: 10.6004/jnccn.2018.7281. J Natl Compr Canc Netw. 2019. PMID: 31319393 Free PMC article.

• Trends in Diagnostic Imaging Utilization among Medicare and Commercially Insured Adults from 2003 through 2016.

  Hong AS, Levin D, Parker L, Rao VM, Ross-Degnan D, Wharam JF. Hong AS, et al. Radiology. 2020 Feb;294(2):342-350. doi: 10.1148/radiol.2019191116. Epub 2019 Dec 31. Radiology. 2020. PMID: 31891320 Free PMC article.

• Recent Trends in the Incidence and Survival of Stage 1A Pancreatic Cancer: A Surveillance, Epidemiology, and End Results Analysis.

  Blackford AL, Canto MI, Klein AP, Hruban RH, Goggins M. Blackford AL, et al. J Natl Cancer Inst. 2020 Nov 1;112(11):1162-1169. doi: 10.1093/jnci/djaa004. J Natl Cancer Inst. 2020. PMID: 31958122 Free PMC article.

• Decomposition of medical imaging spending growth between 2010 and 2021 in the US employer-insured population.

  Horný M, Chang D, Christensen EW, Rula EY, Duszak R Jr. Horný M, et al. Health Aff Sch. 2024 Mar 27;2(3):qxae030. doi: 10.1093/haschl/qxae030. eCollection 2024 Mar. Health Aff Sch. 2024. PMID: 38756926 Free PMC article.

• Breast Density Awareness and Knowledge, and Intentions for Breast Cancer Screening in a Diverse Sample of Women Age Eligible for Mammography.

  Santiago-Rivas M, Benjamin S, Andrews JZ, Jandorf L. Santiago-Rivas M, et al. J Cancer Educ. 2019 Feb;34(1):90-97. doi: 10.1007/s13187-017-1271-y. J Cancer Educ. 2019. PMID: 28808894 Free PMC article.

RetroSearch is an open source project built by @garambo | Open a GitHub Issue

Search and Browse the WWW like it's 1997 | Search results from DuckDuckGo

HTML: 3.2 | Encoding: UTF-8 | Version: 0.7.3