Quality

The focus of quality improvement in healthcare is to bolster performance and processes related to diagnostic and therapeutic procedures. Leaders in this space also ensure the proper selection of imaging exams and procedures, and monitor the safety of services, among other duties. Reimbursement programs such as the Merit-based Incentive Payment System (MIPS) utilize financial incentives to improve quality. This also includes setting and maintaining care quality initiatives, such as the requirements set by the Joint Commission.

Money

Joint Commission’s Ongoing Professional Practice Evaluation process called ‘costly, ineffective and potentially harmful’

Hospitals spent recurring labor costs per provider of about $50.20, extrapolated for a total national cost of roughly $78.54M, experts wrote in JACR

September 6, 2023

Introducing MRI into clinical practice helps reduce the rate of unnecessary prostate biopsies

“We argue that the results could be replicated elsewhere if guidelines are followed and the urologist and MRI radiologist are dedicated,” researchers noted. 

August 25, 2023
Cigna, one of the nation’s largest health insurance providers, announced new priorities for its capital deployment, including steering an additional $450 million into Cigna Ventures.

Cigna is removing 25% of medical services from prior authorization, but none of them are in imaging

The health insurer has faced criticism over its use of PA, including a class action lawsuit alleging it denied claims for imaging and other healthcare services in bulk

August 25, 2023
lung cancer screening

Unnecessary follow-up tests may be dissuading individuals from returning for future cancer screenings

Nearly 18% of patients receive follow-up imaging or invasive procedures despite negative findings on lung cancer screening CT. 

August 16, 2023
scales of justice

‘Unstoppable’ radiologist keeps practicing despite millions in fines, mounting investigations

James McGuckin, MD, most recently made the news in May when the DOJ filed suit against him and his affiliated practices. 

August 11, 2023
Doctors have increasingly been seeing breast exams with swollen lymph nodes imitating cancer in patients who have received a vaccine, prompting Penn Medicine providers to offer up guidance. mammography mammogram breast cancer

Breast cancer overdiagnosis may be common among older women, study contends

The findings point to a "real need for better tools to identify which women may benefit from screening and which breast cancers are unlikely to be progressive." 

August 8, 2023
quality imaging appropriateness clinical decision support CAS AUC

ACR shares concerns about specialty’s ‘struggle’ to participate in alternative payment models

Barriers to radiologists’ success in MIPS include their ineligibility to earn maximum incentive adjustments, despite perfect performance. 

August 4, 2023

Medicare spent upward of $3.8B on low-value imaging and cancer screenings in 1 year: MedPAC

“Imaging for nonspecific low back pain” was listed as the most frequently occurring low-value service, impacting upward of 9.3% of beneficiaries. 

July 31, 2023

Around the web

"This was an unneeded burden, which was solely adding to the administrative hassles of medicine," said American Society of Nuclear Cardiology President Larry Phillips.

SCAI and four other major healthcare organizations signed a joint letter in support of intravascular ultrasound. 

The newly approved AI models are designed to improve the detection of pulmonary embolisms and strokes in patients who undergo CT scans.

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