Document Detail

Advanced Diagnostic Imaging in Privately Insured Patients: Recent Trends in Utilization and Payments.
MedLine Citation:
PMID:  24813748     Owner:  NLM     Status:  Publisher    
Recent studies have reported that the rate of growth in utilization of noninvasive diagnostic imaging has slowed, with a concomitant reduction in total payments to providers in the Medicare Part B fee-for-service population. Utilization and payment growth trends in commercially insured populations, however, are not as well understood. We used the Truven Health Analytics MarketScan(®) Commercial Claims and Encounters database containing more than 29 million individuals to investigate commercially insured population trends in utilization of and payments for CT, MRI, PET, and ultrasound procedures in the years 2007-2011. We found that imaging use-after a brief downturn in 2010-rose again in 2011, coupled with substantial increases in adjusted payments for all four imaging modalities, raising concerns about future efforts to stem growth in imaging use and associated spending.
Michal Horný; James F Burgess; Jedediah Horwitt; Alan B Cohen
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-5-7
Journal Detail:
Title:  Journal of the American College of Radiology : JACR     Volume:  -     ISSN:  1558-349X     ISO Abbreviation:  J Am Coll Radiol     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-5-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101190326     Medline TA:  J Am Coll Radiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 American College of Radiology. Published by Elsevier Inc. All rights reserved.
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