Report of the ACR's Economics Committee on Value-Based Payment Models

Giles W. Boland, Lucille Glenn, Shlomit Goldberg-Stein, Saurabh Jha, Mark Mangano, Samir Patel, Kurt A. Schoppe, David Seidenwurm, John Lohnes, Ezequiel Silva, Richard Abramson, Daniel J. Durand, Laura Pattie, Pamela Kassing, Richard E. Heller

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

A major outcome of the current health care reform process is the move away from unrestricted fee-for-service payment models toward those that are based on the delivery of better patient value and outcomes. The authors’ purpose, therefore, is to critically evaluate and define those components of the overall imaging enterprise that deliver meaningful value to both patients and referrers and to determine how these components might be measured and quantified. These metrics might then be used to lobby providers and payers for sustainable payment solutions for radiologists and radiology services. The authors evaluated radiology operations and services using the framework of the imaging value chain, which divides radiology service into a number of discrete value-added activities, which ultimately deliver the primary product, most often the actionable report for diagnostic imaging or an effective outcome for interventional radiology. These value activities include scheduling and imaging appropriateness and stewardship, patient preparation, protocol design, modality operations, reporting, report communication, and clinical follow-up (eg, mammography reminder letters). Two further categories are hospital or health care organization citizenship and examination outcome. Each is discussed in turn, with specific activities highlighted.

Original languageEnglish (US)
Pages (from-to)6-14
Number of pages9
JournalJournal of the American College of Radiology
Volume14
Issue number1
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

Keywords

  • APM
  • Health care reform
  • Imaging 3.0
  • MACRA
  • MIPS
  • metrics
  • outcomes
  • payments
  • value

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Boland, G. W., Glenn, L., Goldberg-Stein, S., Jha, S., Mangano, M., Patel, S., Schoppe, K. A., Seidenwurm, D., Lohnes, J., Silva, E., Abramson, R., Durand, D. J., Pattie, L., Kassing, P., & Heller, R. E. (2017). Report of the ACR's Economics Committee on Value-Based Payment Models. Journal of the American College of Radiology, 14(1), 6-14. https://doi.org/10.1016/j.jacr.2016.08.031