Data on Managed Care Described by Researchers at Radiology Partners (Current Controversies In Radiology On Cost, Reimbursement, and Price Transparency: Ajr Expert Panel Narrative Review): Managed Care

2022 JUL 22 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- Current study results on Managed Care have been published. According to news reporting originating from El Segundo, California, by NewsRx correspondents, research stated, “Many believe that fundamental reform of the U.S. health care system is overdue and necessary given rising national health care expenditures, poor performance on key population health metrics, meaningful health disparities, concerns about potential financial toxicity of care, inadequate price transparency, pending insolvency of Medicare Part A, increasing commercial insurance premiums, and large uninsured and underinsured populations. The Medicare Payment Advisory Commission, an independent congressional agency, believes that part of this reform includes redistribution of reimbursements away from specialties such as radiology.”

Our news editors obtained a quote from the research from Radiology Partners, “Thus, despite an increase in the Medicare population and spending, Medicare payments for medical imaging have been decreasing for years. Further, the No Surprises Act, a federal law intended to curb the problem of surprise medical billing, was repurposed in federal rulemaking to reduce reimbursement from commercial payers to certain specialties, including radiology. In this article, we examine challenges facing the U.S. health care system, focusing on cost, reimbursement, and price transparency and the role of radiology in addressing such challenges. Medical imaging is a minor contributor to national health care expenditures but has an outsized impact on patient care.”

According to the news editors, the research concluded: “The radiology community should work together to reinforce the value of medical imaging and reduce inappropriate utilization of low-value care.”

This research has been peer-reviewed.

For more information on this research see: Current Controversies In Radiology On Cost, Reimbursement, and Price Transparency: Ajr Expert Panel Narrative Review. American Journal of Roentgenology, 2022;219(1):1-10. American Journal of Roentgenology can be contacted at: Amer Roentgen Ray Soc, 44211 Slatestone Ct, Leesburg, VA, USA.

The news editors report that additional information may be obtained by contacting Richard E. Heller, Radiology Partners, 2330 Utah Ave, Ste 200, El Segundo, CA 90245, United States. Additional authors for this research include Gelareh Sadigh, Vijay M. Rao, Yoshimi Anzai and Andrew K. Moriarity.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.2214/ajr.22.27326. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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