Featured Research

from universities, journals, and other organizations

Landmark medical imaging provisions in SGR 'patch' to help usher in new era of evidence-based medicine

Date:
April 1, 2014
Source:
American College of Radiology (ACR)
Summary:
What may be first of their kind requirements included in the newly passed “Protecting Access to Medicare Act of 2014” would make health care more efficient, raise medical imaging quality, improve utilization accuracy and make physician payment policy more transparent.

What may be first of their kind requirements included in the newly passed "Protecting Access to Medicare Act of 2014" (H.R. 4302) would make health care more efficient, raise medical imaging quality, improve utilization accuracy and make physician payment policy more transparent. The American College of Radiology (ACR) applauds the Senate for passing the bill Monday, and both Houses of Congress, for warding off massive provider payment cuts mandated by the flawed Sustainable Growth Rate (SGR) formula, and taking a landmark step toward modern, evidence-based health care.

The bill requires ordering providers to consult physician-developed appropriateness criteria when prescribing advanced imaging procedures for Medicare patients. The legislation directs the secretary of the U.S. Department of Health and Human Services (HHS) to identify mechanisms, such as clinical decision support systems, by which ordering professionals can consult these criteria. Such ordering systems reduce duplicate and/or unnecessary scanning and associated costs. This may be the first time that Medicare would require providers to use such point of care, evidence-based ordering for exams or procedures.

"As medical imaging is the cutting edge of modern medicine, this requirement is a major step forward in health care reform. Providers will have the latest medical evidence at their fingertips before a scan is ordered -- ensuring that patients get the right exam for their condition and avoid unnecessary care. This will reduce unnecessary costs and help pave the way for a more responsive and efficient health care system," said Paul H. Ellenbogen, MD, FACR, chair of the American College of Radiology Board of Chancellors.

The ACR also supports provisions in the bill that would:

  • Maintain current overall provider reimbursement for the next 12 months (avoiding a 24 percent across the board cut to provider payments statutorily mandated by the SGR formula).
  • Mandate that cuts to medical services greater than 20 percent (in comparison to the previous year) are phased in over a two-year period.
  • Require the Centers for Medicare and Medicaid Services to produce data used to justify a 25 percent multiple procedure payment reduction, instituted in 2012, to certain imaging procedures provided to the same patient, on the same day, in the same session.
  • Delay implementation of controversial ICD-10 provider payment codes as ACR works to prepare radiology providers for the transition to this new system.
  • Improve patient safety through stricter controls on radiation dose levels delivered by computed tomography (CT) machines.

"The imaging provisions in this bill will help remove the conjecture from health policy regarding how much imaging is necessary, whether patients are getting appropriate care and how efficiently America is using its health care resources. For health care reform to truly advance, physicians, as well as patients, have to be comfortable that transparency works both ways. The imaging provisions in this bill are a major step forward for health care," said Ellenbogen.


Story Source:

The above story is based on materials provided by American College of Radiology (ACR). Note: Materials may be edited for content and length.


Cite This Page:

American College of Radiology (ACR). "Landmark medical imaging provisions in SGR 'patch' to help usher in new era of evidence-based medicine." ScienceDaily. ScienceDaily, 1 April 2014. <www.sciencedaily.com/releases/2014/04/140401101845.htm>.
American College of Radiology (ACR). (2014, April 1). Landmark medical imaging provisions in SGR 'patch' to help usher in new era of evidence-based medicine. ScienceDaily. Retrieved September 20, 2014 from www.sciencedaily.com/releases/2014/04/140401101845.htm
American College of Radiology (ACR). "Landmark medical imaging provisions in SGR 'patch' to help usher in new era of evidence-based medicine." ScienceDaily. www.sciencedaily.com/releases/2014/04/140401101845.htm (accessed September 20, 2014).

Share This



More Health & Medicine News

Saturday, September 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Could Grief Affect The Immune Systems Of Senior Citizens?

Could Grief Affect The Immune Systems Of Senior Citizens?

Newsy (Sep. 19, 2014) The study found elderly people are much more likely to become susceptible to infection than younger adults going though a similar situation. Video provided by Newsy
Powered by NewsLook.com
Jury Delivers Verdict in Salmonella Trial

Jury Delivers Verdict in Salmonella Trial

AP (Sep. 19, 2014) A federal jury has convicted three people in connection with an outbreak of salmonella poisoning five years ago that sickened hundreds of people and was linked to a number of deaths. (Sept. 19) Video provided by AP
Powered by NewsLook.com
How The 'Angelina Jolie Effect' Increased Cancer Screenings

How The 'Angelina Jolie Effect' Increased Cancer Screenings

Newsy (Sep. 19, 2014) Angelina's Jolie's decision to undergo a preventative mastectomy in 2013 inspired many women to seek early screenings for the disease. Video provided by Newsy
Powered by NewsLook.com
The Cost of Ebola

The Cost of Ebola

Reuters - Business Video Online (Sep. 18, 2014) As Sierra Leone prepares for a three-day "lockdown" in its latest bid to stem the spread of Ebola, Ciara Lee looks at the financial implications of fighting the largest ever outbreak of the disease. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins