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Volumn 8, Issue 6, 2011, Pages 393-401

Radiology benefit managers: Cost saving or cost shifting?

Author keywords

economic model; health policy; medical imaging; Utilization review

Indexed keywords

ARTICLE; COST CONTROL; DECISION MAKING; DIAGNOSTIC IMAGING; HEALTH CARE COST; HEALTH CARE MANAGEMENT; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HEALTH ECONOMICS; HUMAN; MANAGER; MEDICARE; MODEL; RADIOLOGY BENEFIT MANAGER; RADIOLOGY DEPARTMENT;

EID: 84928096036     PISSN: 15461440     EISSN: 1558349X     Source Type: Journal    
DOI: 10.1016/j.jacr.2010.11.016     Document Type: Article
Times cited : (32)

References (31)
  • 1
    • 0034117363 scopus 로고    scopus 로고
    • Utilization management in a large managed behavioral health organization
    • DOI 10.1176/appi.ps.51.5.621
    • A. Koike, R. Klap, and J. Unutzer Utilization management in a large managed behavioral health organization Psychiatr Serv 51 2000 621 626 (Pubitemid 30256637)
    • (2000) Psychiatric Services , vol.51 , Issue.5 , pp. 621-626
    • Koike, A.1    Klap, R.2    Unutzer, J.3
  • 2
    • 84928096589 scopus 로고    scopus 로고
    • A prior authorization program of a radiology benefit management company and how it has affected utilization of advanced diagnostic imaging
    • D.C. Levin, R.L. Bree, V.M. Rao, and J. Johnson A prior authorization program of a radiology benefit management company and how it has affected utilization of advanced diagnostic imaging J Am Coll Radiol 7 2010 33 38
    • (2010) J Am Coll Radiol , vol.7 , pp. 33-38
    • Levin, D.C.1    Bree, R.L.2    Rao, V.M.3    Johnson, J.4
  • 3
    • 65149085856 scopus 로고    scopus 로고
    • Controlling the escalating use of advanced imaging: The role of radiology benefit management programs
    • J.M. Mitchell, and R.R. LaGalia Controlling the escalating use of advanced imaging: the role of radiology benefit management programs Med Care Res Rev 66 2009 339 351
    • (2009) Med Care Res Rev , vol.66 , pp. 339-351
    • Mitchell, J.M.1    Lagalia, R.R.2
  • 5
    • 84928097546 scopus 로고    scopus 로고
    • http://www.gpoaccess.gov/usbudget/fy10/index.html Accessed December 12, 2009
  • 6
    • 84928097545 scopus 로고    scopus 로고
    • Medicare Physician Payment Advisory Commission
    • Medicare Physician Payment Advisory Commission Report to the Congress: Medicare payment policy http://www.medpac.gov/publications/congressional- reports/Mar05-EntireReport.pdf Accessed December 12, 2010
    • Report to the Congress: Medicare Payment Policy
  • 7
    • 84928096045 scopus 로고    scopus 로고
    • Preauthorization of CT and MRI Examinations: Assessment of a Managed Care Preauthorization Program Based on the ACR Appropriateness Criteria ® and the Royal College of Radiology Guidelines
    • DOI 10.1016/j.jacr.2006.04.005, PII S1546144006002092
    • A. Blachar, S. Tal, and A. Mandel Preauthorization of CT and MRI examinations: assessment of a managed care preauthorization program based on the ACR Appropriateness Criteria and the Royal College of Radiology Guidelines J Am Coll Radiol 3 2006 851 859 (Pubitemid 44636379)
    • (2006) JACR Journal of the American College of Radiology , vol.3 , Issue.11 , pp. 851-859
    • Blachar, A.1    Tal, S.2    Mandel, A.3    Novikov, I.4    Polliack, G.5    Sosna, J.6    Freedman, Y.7    Copel, L.8    Shemer, J.9
  • 8
    • 73249125590 scopus 로고    scopus 로고
    • The prevalence of clinically relevant incidental findings on chest computed tomographic angiograms ordered to diagnose pulmonary embolism
    • W.B. Hall, S.G. Truitt, and L.P. Scheunemann The prevalence of clinically relevant incidental findings on chest computed tomographic angiograms ordered to diagnose pulmonary embolism Arch Intern Med 169 2009 1961 1965
    • (2009) Arch Intern Med , vol.169 , pp. 1961-1965
    • Hall, W.B.1    Truitt, S.G.2    Scheunemann, L.P.3
  • 9
    • 44949101486 scopus 로고    scopus 로고
    • Incidental findings in CT colonography: Literature review and survey of current research practice
    • H. Siddiki, J.G. Fletcher, and B. McFarland Incidental findings in CT colonography: literature review and survey of current research practice J Law Med Ethics 36 2008 320 331
    • (2008) J Law Med Ethics , vol.36 , pp. 320-331
    • Siddiki, H.1    Fletcher, J.G.2    McFarland, B.3
  • 10
    • 77950604929 scopus 로고    scopus 로고
    • Geographic variation in the utilization of noninvasive diagnostic imaging: National Medicare data, 1998-2007
    • L. Parker, D.C. Levin, A. Frangos, and V.M. Rao Geographic variation in the utilization of noninvasive diagnostic imaging: national Medicare data, 1998-2007 AJR Am J Roentgenol 194 2010 1034 1039
    • (2010) AJR Am J Roentgenol , vol.194 , pp. 1034-1039
    • Parker, L.1    Levin, D.C.2    Frangos, A.3    Rao, V.M.4
  • 11
    • 61849144428 scopus 로고    scopus 로고
    • Health insurers and medical-imaging policya work in progress
    • J.K. Iglehart Health insurers and medical-imaging policya work in progress N Engl J Med 360 2009 1030 1037
    • (2009) N Engl J Med , vol.360 , pp. 1030-1037
    • Iglehart, J.K.1
  • 12
    • 58549105168 scopus 로고    scopus 로고
    • Experience of an academic neuroradiology division participating in a utilization management program
    • D.P. Friedman, N.S. Smith, R.L. Bree, and V.M. Rao Experience of an academic neuroradiology division participating in a utilization management program J Am Coll Radiol 6 2009 119 124
    • (2009) J Am Coll Radiol , vol.6 , pp. 119-124
    • Friedman, D.P.1    Smith, N.S.2    Bree, R.L.3    Rao, V.M.4
  • 13
    • 84928099903 scopus 로고    scopus 로고
    • The Health Care Group The Health Care Group Plymouth Meeting, PA
    • The Health Care Group Staff salary survey 2009 2009 The Health Care Group Plymouth Meeting, PA
    • (2009) Staff Salary Survey 2009
  • 15
    • 13844299378 scopus 로고    scopus 로고
    • Utilization of radiology services in the United States: Levels and trends in modalities, regions, and populations
    • DOI 10.1148/radiol.2343031536
    • M. Bhargavan, and J.H. Sunshine Utilization of radiology services in the United States: levels and trends in modalities, regions, and populations Radiology 234 2005 824 832 (Pubitemid 40250826)
    • (2005) Radiology , vol.234 , Issue.3 , pp. 824-832
    • Bhargavan, M.1    Sunshine, J.H.2
  • 16
    • 84928097544 scopus 로고    scopus 로고
    • Medicare Physician Payment Advisory Commission
    • Medicare Physician Payment Advisory Commission Report to the Congress: Medicare payment policy http://www.medpac.gov/documents/Mar09-EntireReport.pdf Accessed December 12, 2010
    • Report to the Congress: Medicare Payment Policy
  • 17
    • 84928099499 scopus 로고    scopus 로고
    • Prior authorization takes command: Meet imaging's new decision makers
    • Prior authorization takes command: meet imaging's new decision makers Diagn Imaging 30 2008 http://www.diagnosticimaging.com/display/article/113619/ 1348618?pageNumber=1 Accessed December 12, 2010
    • (2008) Diagn Imaging , vol.30
  • 18
    • 84928097543 scopus 로고    scopus 로고
    • United States Congressional Budget Office
    • United States Congressional Budget Office Budget Options, Volume 1: Health Care www.cbo.gov/ftpdocs/99xx/doc9925/12-18-HealthOptions.pdf December 2008 Accessed December 17, 2010
    • (2008) Budget Options, Volume 1: Health Care
  • 19
    • 66249086945 scopus 로고    scopus 로고
    • Department of Management and Budget US Government Printing Office Washington, DC
    • Department of Management and Budget A new era of responsibility: renewing America's promise 2009 US Government Printing Office Washington, DC
    • (2009) A New Era of Responsibility: Renewing America's Promise
  • 20
    • 67651210548 scopus 로고    scopus 로고
    • What does it cost physician practices to interact with health insurance plans?
    • L.P. Casalino, S. Nicholson, and D.N. Gans What does it cost physician practices to interact with health insurance plans? Health Aff (Millwood) 28 2009 w533 w543
    • (2009) Health Aff (Millwood) , vol.28
    • Casalino, L.P.1    Nicholson, S.2    Gans, D.N.3
  • 22
    • 84928096150 scopus 로고    scopus 로고
    • Mother, may i . . .
    • B.J. Hillman Mother, may I.. J Am Coll Radiol 3 2006 827 828
    • (2006) J Am Coll Radiol , vol.3 , pp. 827-828
    • Hillman, B.J.1
  • 25
    • 77249162682 scopus 로고    scopus 로고
    • Effects of electronic decision support on high-tech diagnostic imaging orders and patients
    • L.I. Solberg, F. Wei, J.C. Butler, K.J. Palattao, C.A. Vinz, and M.A. Marshall Effects of electronic decision support on high-tech diagnostic imaging orders and patients Am J Manag Care 16 2010 102 106
    • (2010) Am J Manag Care , vol.16 , pp. 102-106
    • Solberg, L.I.1    Wei, F.2    Butler, J.C.3    Palattao, K.J.4    Vinz, C.A.5    Marshall, M.A.6
  • 26
    • 64949091695 scopus 로고    scopus 로고
    • Effect of computerized order entry with integrated decision support on the growth of outpatient procedure volumes: Seven-year time series analysis
    • C.L. Sistrom, P.A. Dang, J.B. Weilburg, K.J. Dreyer, D.I. Rosenthal, and J.H. Thrall Effect of computerized order entry with integrated decision support on the growth of outpatient procedure volumes: seven-year time series analysis Radiology 251 2009 147 155
    • (2009) Radiology , vol.251 , pp. 147-155
    • Sistrom, C.L.1    Dang, P.A.2    Weilburg, J.B.3    Dreyer, K.J.4    Rosenthal, D.I.5    Thrall, J.H.6
  • 28
    • 17544370317 scopus 로고    scopus 로고
    • The effect of health insurance on medical care utilization and implications for insurance expansion: A review of the literature
    • DOI 10.1177/1077558704271718
    • T.C. Buchmueller, K. Grumbach, R. Kronick, and J.G. Kahn The effect of health insurance on medical care utilization and implications for insurance expansion: a review of the literature Med Care Res Rev 62 2005 3 30 (Pubitemid 41227378)
    • (2005) Medical Care Research and Review , vol.62 , Issue.1 , pp. 3-30
    • Buchmueller, T.C.1    Grumbach, K.2    Kronick, R.3    Kahn, J.G.4
  • 29
    • 84887932490 scopus 로고    scopus 로고
    • Lung carcinoma http://www.merck.com/mmpe/sec05/ch062/ch062b.html Accessed January 28, 2010
    • Lung Carcinoma
  • 30
    • 84928096594 scopus 로고    scopus 로고
    • The role of radiologists in unnecessary imaging
    • C.E. Clark The role of radiologists in unnecessary imaging J Am Coll Radiol 7 2010 746 747
    • (2010) J Am Coll Radiol , vol.7 , pp. 746-747
    • Clark, C.E.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.