Impact of Medicare Shared Savings Program Accountable Care Organizations at Screening Mammography: A Retrospective Cohort Study.

Abstract:

:Purpose To evaluate the impact of accountable care organizations (ACOs) on use of screening mammography in the Medicare Shared Savings Program (MSSP), the largest value-based reimbursement program in U.S. HISTORY:Materials and Methods Institutional review board approval was waived, as the study used publicly available unidentifiable data. Medicare data were retrospectively obtained for participating ACOs from 2012 to 2014. Baseline information and the ACO-20 measure (percentage of women aged 40-69 years who underwent screening mammography within 24 months) were obtained. Negative binomial regression models were used to evaluate baseline and longitudinal mammography use, with stratified analyses performed for year of entry into the ACO, number of beneficiaries, and geographic region. Results A total of 333 ACOs with 5 329 831 Medicare beneficiaries (mean size, 16 006 beneficiaries) participated in the MSSP. Screening use varied across ACOs (median, 63.0%; range, 8.8%-90.3%), with differences found across regions (use was highest in the Midwest [66.6%] and lowest in the South [58.2%], P = .038). A total of 208 ACOs reported longitudinal outcomes, with mean change in screening mammography use of +2.6% (range, -33.2% to +42.2%), with 128 (61.6%) ACOs reporting improvements (incidence rate ratio, 1.04; 95% confidence interval: 1.02, 1.07) (P = .002). No longitudinal differences in use were seen across regions (P = .078), year of entry (P = .902), number of beneficiaries (P = .814), or total composite quality score (P = .324), nor was there a difference between ACOs that saved money and those that did not (P = .391). Conclusion ACOs in the MSSP have produced small significant improvements in screening mammography use. © RSNA, 2016.

journal_name

Radiology

journal_title

Radiology

authors

Narayan AK,Harvey SC,Durand DJ

doi

10.1148/radiol.2016160554

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

437-448

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

282

pub_type

杂志文章
  • Anovaginal fistulas: evaluation with endoanal MR imaging.

    abstract:PURPOSE:To evaluate endoanal magnetic resonance (MR) imaging in the assessment of anovaginal fistulas and associated findings. MATERIALS AND METHODS:In a retrospective descriptive study, two radiologists systematically reviewed MR findings in 20 patients with a clinically proved anovaginal fistula and looked for the m...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2311021190

    authors: Dwarkasing S,Hussain SM,Hop WC,Krestin GP

    更新日期:2004-04-01 00:00:00

  • Multiphasic examinations of the stomach: efficacy of individual techniques and combinations of techniques in detecting 153 lesions.

    abstract::Multiphasic examinations of 153 gastric abnormalities observed radiologically and endoscopically were reviewed to determine the efficacy of four radiologic techniques and of several common combinations of these techniques for examining the stomach. There were 68 gastric ulcers, 12 ulcer scars, 44 cases of gastritis in...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.162.3.3809500

    authors: Gelfand DW,Chen YM,Ott DJ

    更新日期:1987-03-01 00:00:00

  • Retrievable vena caval filter percutaneously introduced.

    abstract::A vena caval filter than can be introduced percutaneously via the femoral vein is described. We placed these filters in five patients without complications. Experimental work in filter removal one to two weeks after insertion in dogs has been performed. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.155.3.4001390

    authors: Lund G,Rysavy J,Hunter DW,Castaneda-Zuniga WR,Amplatz K

    更新日期:1985-06-01 00:00:00

  • Indium-111 labeled leukocyte uptake: false-positive results in noninfected pseudoaneurysms.

    abstract::Indium-111 (In-111) leukocyte scintigraphy was performed in two patients with postsurgical pseudoaneurysms as part of preoperative evaluation for evidence of graft infection. Despite positive In-111 uptake by the pseudoaneurysms, surgical and pathologic examinations failed to reveal any evidence of infection. The most...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.158.3.3945750

    authors: Gilbert BR,Cerqueira MD,Vea HW,Nelp WB

    更新日期:1986-03-01 00:00:00

  • Size and shape of the pituitary gland during pregnancy and post partum: measurement with MR imaging.

    abstract::Cranial magnetic resonance (MR) imaging was performed in 38 pregnant and postpartum women and 30 nonpregnant age-matched control subjects to establish standards for pituitary gland size and shape during this period. Gland height and infundibulum width were measured on midline T1-weighted sagittal images. Gland convexi...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.181.2.1924800

    authors: Elster AD,Sanders TG,Vines FS,Chen MY

    更新日期:1991-11-01 00:00:00

  • The changing role of external-beam irradiation in the management of malignant tumors of the major salivary glands.

    abstract::Postoperative irradiation reduces the local recurrence rate for malignant salivary gland tumors. Less extensive surgery followed by immediate radiotherapy is possible without decreasing local control; moreover, cosmetic appearance and physiological function are preserved. Local tumor control was achieved in 16 out of ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.145.1.6812160

    authors: Chung CT,Sagerman RH,Ryoo MC,King GA,Yu WS,Dalal PS

    更新日期:1982-10-01 00:00:00

  • Lower-extremity Arterial Thrombosis Associated with COVID-19 Is Characterized by Greater Thrombus Burden and Increased Rate of Amputation and Death.

    abstract::Background During the peak of the coronavirus disease 2019 (COVID-19) pandemic, the authors noted an increase in positive lower-extremity CT angiography examinations in patients who presented with leg ischemia. The goal of this study was to determine whether lower-extremity arterial thrombosis was associated with COVI...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2020202348

    authors: Goldman IA,Ye K,Scheinfeld MH

    更新日期:2020-11-01 00:00:00

  • Computed tomography of suspected caval thrombosis secondary to proximal extension of phlebitis from the leg.

    abstract::While computed tomography (CT) is an accepted procedure for investigation of the inferior vena cava (IVC), little attention has been given to its use in IVC thrombosis secondary to proximal extension of thrombi within the lower venous system. Four cases are presented and several advantages of CT over standard contrast...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.140.2.7255720

    authors: Vujic I,Stanley J,Tyminski LJ

    更新日期:1981-08-01 00:00:00

  • Noninvasive imaging of coronary arteries: current and future role of multi-detector row CT.

    abstract::While invasive imaging techniques, especially selective conventional coronary angiography, will remain vital to planning and guiding catheter-based and surgical treatment of significantly stenotic coronary lesions, the comprehensive and serial assessment of asymptomatic or minimally symptomatic stages of coronary arte...

    journal_title:Radiology

    pub_type: 杂志文章,评审

    doi:10.1148/radiol.2321021803

    authors: Schoenhagen P,Halliburton SS,Stillman AE,Kuzmiak SA,Nissen SE,Tuzcu EM,White RD

    更新日期:2004-07-01 00:00:00

  • Screening for occlusive vascular disease with intraarterial DSA: preliminary experience with a high flow 4-F catheter.

    abstract::Forty-two patients underwent intraarterial digital subtraction angiography (DSA) of the carotid or renal arteries, utilizing a new 4-F aortic flush catheter; 37 procedures were percutaneous transbrachial, five were percutaneous transfemoral. Image quality was consistently good or excellent. The safety of nonselective ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.153.3.6387800

    authors: Becker GJ,Hicks ME,Holden RW,Edwards MK,Jackson VP,Bendick PJ

    更新日期:1984-12-01 00:00:00

  • 99mTc-pertechnetate thyroid scintigraphy in patients predisposed to thyroid neoplasms by prior radiotherapy to the head and neck.

    abstract::Histories, physical examinations and 99mTc-pertechnetate imaging were used to evaluate 1,452 persons who had had x-ray therapy to the neck region for benign conditions 18 to 35 years previously. Thyroid abnormalities were found in 301 patients (21%) and thyroid malignancy was found in 29% of 193 patients with abnormal...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/15.3.653

    authors: Arnold J,Pinsky S,Ryo UY,Frohman L,Schneider A,Favus M,Stachura M,Arnold M,Colman M

    更新日期:1975-06-01 00:00:00

  • Laparoscopic and open partial nephrectomy: frequency and long-term follow-up of postoperative collections.

    abstract:PURPOSE:To compare imaging findings between laproscopic and open partial nephrectomy at 6 months after surgery and to follow the evolution of the findings over time. MATERIALS AND METHODS:This HIPAA-compliant retrospective study had institutional review board approval and consent was waived. A surgical database was cr...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.10091256

    authors: Hecht EM,Bennett GL,Brown KW,Robbins D,Hyams ES,Taneja SS,Stifelman MA

    更新日期:2010-05-01 00:00:00

  • Transcervical recanalization of strictures in the postoperative fallopian tube.

    abstract:PURPOSE:To evaluate use of transcervical recanalization in patients with reocclusion of the proximal fallopian tube after failed surgery to reverse sterilization or failed tuboplasty to treat inflammatory disease. MATERIALS AND METHODS:The standard technique for transcervical recanalization was attempted in seven pati...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.191.2.8153330

    authors: Lang EK,Dunaway HH

    更新日期:1994-05-01 00:00:00

  • The accordion sign at CT: a nonspecific finding in patients with colonic edema.

    abstract:PURPOSE:To determine whether the "accordion sign" is a specific computed tomographic (CT) sign of Clostridium difficile colitis. MATERIALS AND METHODS:Fifty-seven patients with CT evidence of severe colitis, as judged by colonic wall thickening, an abnormal haustral pattern, the target sign, and stranding of the peric...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.211.3.r99jn32743

    authors: Macari M,Balthazar EJ,Megibow AJ

    更新日期:1999-06-01 00:00:00

  • Occlusion of biliary endoprostheses: presentation and management.

    abstract::A retrospective review of 20 cases of endoprosthesis occlusion in 17 patients was performed. The average length of stent patency before occlusion was 3.7 months. Clinical manifestations included one or a combination of the following: cholangitis (n = 17), jaundice (n = 9), and leakage of bile or purulent material from...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.176.2.2367670

    authors: Lee MJ,Mueller PR,Saini S,Morrison MC,Brink JA,Hahn PF

    更新日期:1990-08-01 00:00:00

  • Pulmonary perfusion and xenon gas exchange in rats: MR imaging with intravenous injection of hyperpolarized 129Xe.

    abstract:PURPOSE:To develop and demonstrate a method for regional evaluation of pulmonary perfusion and gas exchange based on intravenous injection of hyperpolarized xenon 129 ((129)Xe) and subsequent magnetic resonance (MR) imaging of the gas-phase (129)Xe emerging in the alveolar airspaces. MATERIALS AND METHODS:Five Fischer...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2522081550

    authors: Driehuys B,Möller HE,Cleveland ZI,Pollaro J,Hedlund LW

    更新日期:2009-08-01 00:00:00

  • Optimal technique for detection of gallstones at injection cholecystography: in vitro analysis.

    abstract::Injection cholecystography is often employed during invasive gallbladder procedures to determine the number of gallstones that are present. The authors undertook this study to define the optimal radiographic technique for performance of injection cholecystography. Condoms filled with 100 mL of contrast medium at four ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.180.1.2052720

    authors: Kammer B,Saini S,Brink JA,Knoefel WT,Ferrucci JT,Simeone JF,Mueller PR

    更新日期:1991-07-01 00:00:00

  • Cryptosporidiosis of the gastric antrum: detection using CT.

    abstract::We describe a patient who had cryptosporidiosis and cytomegalovirus infection of the gastric antrum that was initially detected on computed tomography (CT) scans. CT may be useful in the evaluation of immunocompromised patients with diarrheal illness, as well as in the assessment of the gastrointestinal tract. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.159.3.3704150

    authors: Soulen MC,Fishman EK,Scatarige JC,Hutchins D,Zerhouni EA

    更新日期:1986-06-01 00:00:00

  • Portal venous system thrombosis: helical CT angiography before transjugular intrahepatic portosystemic shunt creation.

    abstract:PURPOSE:To evaluate the utility of helical computed tomographic (CT) angiography for depiction of thrombi in the portal venous system in patients under consideration for transjugular intrahepatic portosystemic shunt (TIPS) creation. MATERIALS AND METHODS:Contrast material-enhanced helical CT was performed before TIPS ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.206.1.9423670

    authors: Kuszyk BS,Osterman FA Jr,Venbrux AC,Heath DG,Urban BA,Smith PA,Fishman EK

    更新日期:1998-01-01 00:00:00

  • Small-vessel radiography in situ with monochromatic synchrotron radiation.

    abstract:PURPOSE:To evaluate the usefulness of a radiographic system with monochromatic synchrotron radiation to depict small vessels and peripheral secretory ducts. MATERIALS AND METHODS:Radiography of various organs was tested in 14 anesthetized dogs and pancreatography was performed in an excised human pancreas by using the...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.201.1.8816540

    authors: Mori H,Hyodo K,Tanaka E,Uddin-Mohammed M,Yamakawa A,Shinozaki Y,Nakazawa H,Tanaka Y,Sekka T,Iwata Y,Handa S,Umetani K,Ueki H,Yokoyama T,Tanioka K,Kubota M,Hosaka H,Ishikawa N,Ando M

    更新日期:1996-10-01 00:00:00

  • Exaggerated anterior vertebral notching.

    abstract::Three children with marrow-packing disorders demonstrated exaggerated anterior vertebral notches with poorly defined cortical margins. One child had thalassemia major, another had Gaucher disease, and a third had metastatic neuroblastoma. A discussion of each case and the etiology of the notches is presented. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/131.2.367

    authors: Mandell GA,Kricun ME

    更新日期:1979-05-01 00:00:00

  • Brain parenchyma motion: measurement with cine echo-planar MR imaging.

    abstract::With echo-planar magnetic resonance (MR) imaging, the authors measured the intrinsic pulsatile motion of brain parenchyma. Phase-sensitive, electrocardiography-gated, two-dimensional cine images were acquired throughout the cardiac cycle by using a spin-echo, blipped echo-planar MR pulse sequence. Transverse and coron...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.185.3.1438740

    authors: Poncelet BP,Wedeen VJ,Weisskoff RM,Cohen MS

    更新日期:1992-12-01 00:00:00

  • Unusual artifact with mammography film.

    abstract::The authors identified the origin of a high-density artifact with mammography film. An acrylic ramp phantom (thickness, 0-7 cm) was used to create a continuously variable radiation exposure. A perturbation in the curve of optical density versus position along the ramp was observed. Development of the film with the emu...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.206.3.9494510

    authors: Hedrick WR,Poulton TB,Starchman DE,Tobias TE

    更新日期:1998-03-01 00:00:00

  • A new scintigraphic technique for assessment of right atrial function.

    abstract::Gated radionuclide imaging with 99mTc-labeled red blood cells was employed to assess changes in right atrial (RA) volume in 17 subjects. Studies were repeated within two hours in five of 12 normal subjects and at two and ten days after infarction in five patients. Time-activity curves were generated for the RA and rig...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.139.3.7232740

    authors: Marmor A,Biello DR,Sampathkumaran KS,Geltman EM,Siegel BA,Roberts R

    更新日期:1981-06-01 00:00:00

  • Suspected acute appendicitis: nonenhanced helical CT in 300 consecutive patients.

    abstract:PURPOSE:To determine the accuracy of helical computed tomography (CT) without the oral, intravenous, or rectal administration of contrast material in confirming suspected acute appendicitis. MATERIALS AND METHODS:Three hundred consecutive patients referred from the departments of surgery and emergency medicine were ex...

    journal_title:Radiology

    pub_type: 临床试验,杂志文章

    doi:10.1148/radiology.213.2.r99nv44341

    authors: Lane MJ,Liu DM,Huynh MD,Jeffrey RB Jr,Mindelzun RE,Katz DS

    更新日期:1999-11-01 00:00:00

  • Recurrent symptomatic high-grade intracranial stenoses: safety and efficacy of undersized stents--initial experience.

    abstract:PURPOSE:To prospectively evaluate the safety and efficacy of undersized stents used in patients with high-grade intracranial stenosis and recurrent ischemic symptoms who are undergoing medical treatment. MATERIALS AND METHODS:In 18 patients (13 men, five women; age range, 51-82 years), 20 high-grade (>70%) intracrania...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2311030183

    authors: de Rochemont Rdu M,Turowski B,Buchkremer M,Sitzer M,Zanella FE,Berkefeld J

    更新日期:2004-04-01 00:00:00

  • Aspiration and drainage procedures in the intensive care unit: percutaneous sonographic guidance.

    abstract::Ultrasound guidance was used in 10 aspiration and six drainage procedures in the intensive care unit. Sonography offered a safe and effective method for guidance of diagnostic aspiration in the ICU setting. Additionally, cholecystostomy, nephrostomy, abscess drainage, and empyema drainage were performed at bedside as ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.154.2.3966140

    authors: McGahan JP

    更新日期:1985-02-01 00:00:00

  • Chronic hypersensitivity pneumonitis: high-resolution CT and radiographic features in 16 patients.

    abstract::To evaluate the manifestations of chronic hypersensitivity pneumonitis at radiography and high-resolution computed tomography (HRCT), findings in 16 patients with this disease were reviewed. To ensure objectivity, 50 patients with other chronic infiltrative lung diseases (fibrosing alveolitis [n = 29], sarcoidosis [n ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.185.1.1523340

    authors: Adler BD,Padley SP,Müller NL,Remy-Jardin M,Remy J

    更新日期:1992-10-01 00:00:00

  • Single-session treatment of benign cystic thyroid nodules with ethanol versus radiofrequency ablation: a prospective randomized study.

    abstract:PURPOSE:To compare volume reduction of single-session ethanol ablation (EA) and radiofrequency (RF) ablation for cystic thyroid nodule treatment. MATERIALS AND METHODS:All patients gave written informed consent to participate in this prospective institutional review board-approved study. From May 6, 2010, to August 8,...

    journal_title:Radiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1148/radiol.13122134

    authors: Sung JY,Baek JH,Kim KS,Lee D,Yoo H,Kim JK,Park SH

    更新日期:2013-10-01 00:00:00

  • Pulmonary manifestations of blastomycosis. Radiological support of a new concept.

    abstract::The pulmonary manifestations of blastomycosis were observed in 51 patients and correlated with their location in the lungs and the clinical appearance of the patient. Blastomycosis is primarily an airbone infection that occurs in both acute and chronic forms and follows a specific pathway within the lungs. It must be ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/120.1.25

    authors: Rabinowitz JG,Busch J,Buttram WR

    更新日期:1976-07-01 00:00:00