Following a long road of uncertainty and speculation on the fate of the Patient Protection and Affordable Care Act (PPACA), yesterday we got our answer. The Supreme Court upheld the health care reform law, including the individual mandate which requires most Americans to purchase health insurance.
The decision comes 17 months after a federal district court judge ruled the mandate unconstitutional and concluded that the PPACA must be struck down, and three months after the Supreme Court heard arguments in National Federation of Business versus Sebelius.
The Supreme Court upholds the ACA: Three takeaways for imaging providers
Shaun Lillard, Imaging Performance Partnership
At this year's Society for Imaging Informatics in Medicine (SIIM) meeting, one presentation focused on the implementation and use of clinical decision support (CDS) at Brigham and Women's.
Dr. Ramin Khorasani, vice chair of the department of radiology at the hospital and chief of its Center for Evidence-Based Imaging, outlined three key principles to implementing successful CDS with computerized physician order-entry (CPOE):
- Use quality evidence-based guidelines
- Establish accountability for decisions made
- Implement strong leadership
How to add effective clinical decision support
Emily Hague, Imaging Performance Partnership
A study published June 13 in the Journal of the American Medical Association found that integrated health systems did little to control growth in imaging compared with their fee-for-service counterparts. Researchers at the University of California in San Francisco examined rates of diagnostic imaging at six large integrated health systems nationwide between 1996 and 2010.
Member patients underwent almost 40 million imaging exams, about 1.18 per person per year; of these, 35% were advanced modalities. Over the course of the study, CTs increased by 7.8%, MRIs increased by 10%, and ultrasound use increased by 3.9% annually. Use of PET scans also increased 54% per year from 2004 onward.
New JAMA study indicates managed care may not reduce imaging utilization