News | Business | August 15, 2017

Patient Complexity, Subspecialization Impact List Prices for Radiologists' Services

Neiman Institute study finds prices are generally higher for subspecialists, radiologists who serve higher-complexity patients

Patient Complexity, Subspecialization Impact List Prices for Radiologists' Services

August 15, 2017 — A new study by the Harvey L. Neiman Health Policy Institute finds that patient condition complexity and subspecialization are primary factors affecting radiologist services list price variation. The researchers evaluated the 2014 Medicare Physician and Other Supplier Public Use File to identify submitted charges (“list prices”) and payments for radiologists’ services. The report is published online in the Journal of the American College of Radiology (JACR).

“The results found that the higher charges for radiologists’ services demonstrate consistent patterns of variation and are most strongly seen for those serving higher complexity patients,” said Andrew Rosenkrantz, M.D., MPA, lead study author and a Neiman Institute affiliate research fellow. He also added that, “Additional higher price predictors for radiologists include having a subspecialized practice pattern, with interventional radiologists having the highest price markups.”

Rosenkrantz and his colleagues found that among 26,715 radiologists nationally, the mean charge-to-payment ratio was 4.2. A greater charge-to-payment ratio was most strongly predicted for those serving higher-complexity patients. A higher charge-to-payment ratio was also observed among radiologists with a teaching institutional affiliation, in larger practices and in rural areas. Subspecialists were observed to have higher charge-to-payment ratios than generalists. Among subspecialties, the greatest charge-to-payment ratios were for breast imaging and interventional radiology. 

“As price transparency initiatives expand, radiologists should be aware of how and why their list prices compare with local and national benchmarks,” noted Richard Duszak, M.D., FACR, professor and vice chair for health policy and practice in the department of radiology and imaging sciences at Emory University and senior affiliate research fellow at the Neiman Institute.

For more information: www.neimanhpi.org

Related Content

SIIM Announces Keynote Speakers for Conference on Machine Intelligence in Medical Imaging
News | Artificial Intelligence | September 21, 2017
The Society for Imaging Informatics in Medicine (SIIM) recently announced several corporate and government experts as...
News | Business | September 19, 2017
September 19, 2017 — Invicro LLC, a provider of imaging services and software for research and drug development, anno
News | Imaging | September 18, 2017
Mary Washington Hospital and Union Health-Union Hospital will both receive Safety FiRsT grants to implement safety...
Understanding True Patient-centered Care in Radiology
Sponsored Content | Whitepapers | Imaging | September 18, 2017
What is the true meaning of “patient-centered care”?
ASRT Donating $10,000 in Support of Hurricane Irma Relief Efforts
News | Business | September 12, 2017
September 12, 2017 — The American Society of Radiologic Technologists (ASRT) announced it will donate $10,000 to the
News | Imaging | September 11, 2017
September 11, 2017 — Innovatus Imaging Corp., a newly created holding company formed by private equity firm Resilienc
DoseWise is Philips' automated dose management platform

DoseWise is Philips' automated dose management platform.

Sponsored Content | Case Study | Radiation Dose Management | September 08, 2017 | By Kelly Golkin
Continuing education and training are essential in the healthcare industry. Physicians are required to earn a certain...
The GE Healthcare Signa Premier MRI was among the top radiology stories from August 2017

The GE Healthcare Signa Premier MRI was among the top radiology stories from August 2017.

Feature | Imaging | September 01, 2017 | Melinda Taschetta-Millane
Here is the list of the most popular articles and videos on the Imaging Technology News (ITN) magazine website from the...
News | Business | August 28, 2017
To ensure you continue to receive information most critical to your job, please participate in a survey that will take...
Houston Methodist Hospital Enters Multi-Year Technology and Research Agreement With Siemens Healthineers
News | Imaging | August 17, 2017
Houston Methodist Hospital and Siemens Healthineers have entered into a multi-year agreement to bring cutting-edge...
Overlay Init