The Reading Room

Our latest update on all things imaging

Cardiovascular or radiology—who owns CV imaging services?

by Emily Snow and Matt Morrill May 10, 2019

Editor's note: This story was updated on May 22, 2019.

Both the Cardiovascular Roundtable and Imaging Performance Partnership have seen an increase in CV imaging questions across the last year. Our members may be wrestling with the fact that CV imaging is both a key source of downstream growth and utilization management target. (Editor's note: For more information on CV Imaging market trends, read our recent blog post). As organizations consider their CV imaging strategies, many have asked who should oversee these critical and complex services.

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Does CDS curb imaging orders? Aurora Health Care says yes.

by Catherine Kosse and Erin Lane April 23, 2019

In just eight months, Medicare will require ordering providers to consult appropriate use criteria (AUC) via an electronic clinical decision support (CDS) tool when ordering outpatient advanced imaging exams. When executed properly, CDS can facilitate more appropriate use of imaging, hardwire care standards, and reduce total cost of care. But, with few recent studies assessing the tool's impact, many health care leaders are left wondering what to expect after implementation. A recent study from Aurora Health Care sheds light on potential outcomes.

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The key challenges undercutting your lung screening growth—and how to overcome them

by Lea Halim and Ty Aderhold April 9, 2019

Nationwide rates for lung screening remain in the single digits—as low as 2% according to 2018 research from the American Society of Clinical Oncology. For imaging programs and health systems, these rates should signal that low-dose lung screening is a growth opportunity. Not only can programs benefit from the immediate revenue of additional low-dose CT screening exams, but lung screening programs can generate significant downstream revenue for the system and save overall health care spending by catching cancers early. However, there are a few key barriers to growth for lung screening programs:

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Breast screening patients have high expectations. Here's how to position your organization for success.

by Catherine Kosse and Erin Lane March 26, 2019

Editor's note: This post was updated on April 11, 2019.

Sixty-four percent of women aged 40 or older receive biennial mammography screenings, and over the next 10 years, this population will likely grow with an estimated exam volume increase of 7.4%. To secure current market share and attract new patients, imaging programs must differentiate their breast screening services from competitors by meeting rising patient expectations.

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Price transparency can lead to lower costs, even for those patients who do not shop

by Matt Morrill and Ty Aderhold February 12, 2019

Are patients actually shopping for imaging? Here at the Imaging Performance Partnership, we have been seeing this question more and more of late. While estimates assert that 30% to 40% of health care, including most medical imaging, is shoppable, studies continue to show that patients are not shopping for imaging care as much as one might expect.

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How incidental findings management may have saved Justice Ginsburg's life—and what that means for your imaging department

by Matt Morrill and Emily Snow January 29, 2019

Back in November, 85-year-old U.S. Supreme Court Justice Ruth Bader Ginsburg was hospitalized with three fractured ribs due to a fall. While a concerning injury, it may have actually been a blessing in disguise.

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The top 5 questions on site-neutral payments for imaging in 2019, answered

by Matt Morrill and Ty Aderhold December 20, 2018

In 2017, CMS implemented a site-neutral payment provision to reduce payment discrepancies between identical services performed at hospital outpatient departments (HOPDs) and provider-based sites.

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Imaging CDS begins in 2020: Get the 6 latest updates

by Erin Lane and Catherine Kosse December 4, 2018

Editor's note: This post is out-of-date. Click here to get our latest update, published on Aug. 27, 2019.

Earlier this month, CMS released the Medicare Physician Fee Schedule (MPFS) final rule for calendar year 2019. For imaging, many of the biggest updates concern the imaging clinical decision support (CDS) mandate, also known as the Medicare Appropriate Use Criteria (AUC) Program.

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