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News You Need to Know Today
Medical imaging a big contributor to Medicare waste | Many thyroid ultrasounds unneeded | 80% of head CT requests inadequate
Wednesday, September 24, 2025
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Editor's Choice: Quality

Medical imaging a heavy contributor to Medicare waste, study finds

The payment program spent $484 million on 15 different low-value imaging services, a figure that balloons to $584 million when factoring for out-of-pocket costs.  

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imaging radiology money scans compensation pay dollar
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Medical imaging a heavy contributor to Medicare waste, study finds

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imaging radiology money scans compensation pay dollar
The payment program spent $484 million on 15 different low-value imaging services, a figure that balloons to $584 million when factoring for out-of-pocket costs.  
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Radiology department adopts new incidental findings approach that’s closing cases at a 99% clip

Researchers with Northwestern University in Chicago detailed their novel system in an analysis published by the Journal of the American College of Radiology. 

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radiology reporting EHR health record CDS AUC
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Radiology department adopts new incidental findings approach that’s closing cases at a 99% clip

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radiology reporting EHR health record CDS AUC
Researchers with Northwestern University in Chicago detailed their novel system in an analysis published by the Journal of the American College of Radiology. 
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ED docs overusing CT imaging for gastrointestinal bleeding, study finds

Despite its high accuracy, CTA can come with tradeoffs including requiring radiologists to review a high number of images looking for findings that can be subtle, increasing case complexity and workloads. 

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stomach gastrointestinal digestive
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ED docs overusing CT imaging for gastrointestinal bleeding, study finds

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stomach gastrointestinal digestive
Despite its high accuracy, CTA can come with tradeoffs including requiring radiologists to review a high number of images looking for findings that can be subtle, increasing case complexity and workloads. 
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New care approach cuts breast biopsy referrals by over 50%

Rising imaging volumes have led to an uptick in the unearthing of unexpected breast lesions, with a corresponding jump in follow-up examinations.

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breast ultrasound biopsy
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New care approach cuts breast biopsy referrals by over 50%

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breast ultrasound biopsy
Rising imaging volumes have led to an uptick in the unearthing of unexpected breast lesions, with a corresponding jump in follow-up examinations.
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‘Notable’ proportion of thyroid ultrasounds are unnecessary, leading to potential overdiagnoses

Experts are suggesting three solutions to address low-value thyroid imaging orders, including clinical decision support and education. 

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neck ultrasound thyroid
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‘Notable’ proportion of thyroid ultrasounds are unnecessary, leading to potential overdiagnoses

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neck ultrasound thyroid
Experts are suggesting three solutions to address low-value thyroid imaging orders, including clinical decision support and education. 
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80% of requests for emergency head CT inadequate, single-center study finds

Addressing these inappropriate imaging referrals is necessary to reduce healthcare costs, radiation exposure and pollution, experts write in Insights into Imaging. 

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quality
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80% of requests for emergency head CT inadequate, single-center study finds

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quality
Addressing these inappropriate imaging referrals is necessary to reduce healthcare costs, radiation exposure and pollution, experts write in Insights into Imaging. 
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Ultrasound after negative CT scan offers little benefit in emergency gynecological care

“Clinicians should carefully weigh the additional resource utilization against the potential benefit," Yale University emergency medicine experts write in JACR. 

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Emergency Department room ED ER EM
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Ultrasound after negative CT scan offers little benefit in emergency gynecological care

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Emergency Department room ED ER EM
“Clinicians should carefully weigh the additional resource utilization against the potential benefit," Yale University emergency medicine experts write in JACR. 
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Radiologists uncover widespread variation in IVC filter removal rates, with deadly consequences

About 30% of patients die within 90 days of implanting an inferior vena cava filter, yet a median of only about 6% are removed within this time span, experts write in JACR. 

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Hospital finance, Despite improving margins, hospitals face a long road to recovery from the COVID pandemic
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Radiologists uncover widespread variation in IVC filter removal rates, with deadly consequences

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Hospital finance, Despite improving margins, hospitals face a long road to recovery from the COVID pandemic
About 30% of patients die within 90 days of implanting an inferior vena cava filter, yet a median of only about 6% are removed within this time span, experts write in JACR. 
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Efforts to curtail unnecessary back-pain imaging coming up short

Despite concerted attempts to reduce low-value imaging, the rate of individuals receiving radiographs stayed static between 2016 and 2022. 

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back_pain.jpg
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Efforts to curtail unnecessary back-pain imaging coming up short

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back_pain.jpg
Despite concerted attempts to reduce low-value imaging, the rate of individuals receiving radiographs stayed static between 2016 and 2022. 
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Average malpractice insurance payout for diagnostic errors in physician offices: $661,000

Cancer is by far the most commonly overlooked diagnosis at 45%, followed by infections (14%), vascular issues (7%) and cardiac concerns, according to new research. 

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cleveland clinic settles for failing to disclose research funding
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Average malpractice insurance payout for diagnostic errors in physician offices: $661,000

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cleveland clinic settles for failing to disclose research funding
Cancer is by far the most commonly overlooked diagnosis at 45%, followed by infections (14%), vascular issues (7%) and cardiac concerns, according to new research. 
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Society of Interventional Radiology opposes value-based care proposal

Under the proposal, Medicare would add an interventional radiology payment pathway, creating a new reporting framework for IRs as part of MIPS.

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Society of Interventional Radiology opposes value-based care proposal

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Under the proposal, Medicare would add an interventional radiology payment pathway, creating a new reporting framework for IRs as part of MIPS.
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Key causes of poor breast imaging quality and how 1 health system addresses them

Variable technologist training and skill levels, inconsistent onboarding and training, “constant” turnover, and a high number of unfilled positions all have contributed. 

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mammography mammogram breast imaging
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Key causes of poor breast imaging quality and how 1 health system addresses them

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mammography mammogram breast imaging
Variable technologist training and skill levels, inconsistent onboarding and training, “constant” turnover, and a high number of unfilled positions all have contributed. 
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