Navigation Links
Insurers Employ Multiple Solutions to Avoid Radiology Expense Spike
Date:11/19/2008

NASHVILLE, Tenn., Nov. 19 /PRNewswire/ -- HealthLeaders-InterStudy, a leading provider of managed care market intelligence, reports that while radiology costs have stabilized since first coming under scrutiny in 2005, insurers are seeing these costs quickly rise again. In several recent reports in Health Plan Analysis, HealthLeaders-InterStudy analysts find that to control costs, insurers continue to rely on traditional approaches such as pre-certification, but are also using multi-pronged strategies to educate providers about proper test usage.

"Industry observers estimate that radiology costs have risen more rapidly than other healthcare expenses. Contributing to this growth is the emergence of new technology, such as breast-specific gamma imaging and more widespread use of imaging technology in general," said Jane DuBose, Director of Health Plan Analysis for HealthLeaders-InterStudy. "Previously, spending was centered around hospitals, but now there are more independent testing facilities and physician offices have increased access to equipment, so health plans are actively engaging in cost containment strategies to help manage the increased cost of more widespread use."

UnitedHealthcare has initiated an imaging accreditation program for providers in 38 states. When a physician orders a test outside of guidelines from the American College of Radiology, a "peer to peer" dialogue occurs between UnitedHealthcare staff and the ordering physician. According to an official with UnitedHealthcare, this intervention has resulted in changed tests 3 percent of the time and cancellation of tests 9 percent of the time.

In Nevada, Anthem Blue Cross and Blue Shield is beginning to use data to give providers more information about best practices on imaging techniques, in hopes of lowering its imaging costs which account for 10 to 12 percent of its entire medical costs in the state.

Premera Blue Cross has launched a new initiative in Washington state that requires providers wanting to schedule an advanced imaging procedure to answer a series of questions. The intent is not approval or denial of the test, but merely to determine if the proper test is being requested in hopes of eliminating unnecessary or duplicated tests and, thus, decreasing costs.

"Plans throughout the country are struggling with how best to control imaging costs. Florida, for instance, as the home to 3.15 million seniors, is a hotbed for imaging, and leads the nation in radiology spending per Medicare patient. As use of imaging technology grows, health plans will likely explore more programs to ensure providers are up-to-speed on the latest guidelines," said DuBose.

About Health Plan Analysis

Health Plan Analysis identifies key health plan trends, allowing healthcare businesses to create comprehensive strategic plans and sales strategies at state and local levels. Updated quarterly, Health Plan Analysis provides a detailed look at plan design and financials, as well as information about mergers, legislation and other influencers driving healthcare in a particular region.

About HealthLeaders-InterStudy

HealthLeaders-InterStudy, a Decision Resources, Inc. company, is the authoritative source for managed care data, analysis and news. For more information, please visit www.HL-ISY.com.

About Decision Resources, Inc.

Decision Resources, Inc. is a cohesive portfolio of companies that offers best-in-class, high-value information and insights on important sectors of the healthcare industry. Clients rely on this analysis and data to make informed decisions. Please visit Decision Resources, Inc. at www.DecisionResourcesInc.com.

All company, brand or product names contained in this document may be trademarks or registered trademarks of their respective holders.

    For more information, contact:

    Lisa Osgood                       Elizabeth Marshall
    HealthLeaders-InterStudy          Decision Resources, Inc.
    781-296-2606                      781-296-2563
    losgood@hl-isy.com                emarshall@dresources.com

'/>"/>
SOURCE HealthLeaders-InterStudy
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. Blue Cross Blue Shield of Michigan Calls for Attorney General to Support Stronger Regulation of Commercial Insurers; Protections for Consumers; and Financially Stable Insurance Market
2. Anthem Blue Cross and Blue Shield in Connecticut Ranks in Top 10 of Insurers Nationwide on U.S. News & World Report/National Committee for Quality Assurance Americas Best Health Plans List
3. Anthem Blue Cross and Blue Shield in Maine Among Top Insurers on U.S. News & World Report/National Committee for Quality Assurance Americas Best Health Plans List
4. Anthem Blue Cross and Blue Shield in Maine Ranks in Top 6% of all insurers on U.S. News & World Report/National Committee for Quality Assurance Best Health Plans List
5. California Insurers are Behind the Curve with Consumer-Driven Health Plans
6. CA Legislatures Reform of Health Insurance Cancellations Resembles Insurance Industrys Own Plan; Insurers, Satisfied With Getting a Legal Edge Against Patients, Drop Opposition to the Bill
7. PacifiCare Rescission Settlement Gives Lip Service to Patient Losses But Stacks Legal Deck in Favor of Insurers
8. Nurses, Doctors, Patients to Protest Health Insurers on National Day of Action - June 19th
9. L.A. City Attorney Rocky Delgadillo, Patient Activists to Unveil New Television Ad Targeting Health Insurers
10. Bill Allowing Medical Privacy Intrusion Fails in Sacramento; Anti-Privacy Bill by Auto Insurers Faces Vote Wednesday
11. Nurses, Doctors, Patients to Protest Health Insurers at National Day of Action - June 19th
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/22/2017)... ... August 22, 2017 , ... “Wilderness Voices”: a collection ... travel. “Wilderness Voices” is the creation of published author, Martha McKown, an ordained ... was inspired as a very young child when her older sisters studied High School ...
(Date:8/22/2017)... Raleigh, North Carolina (PRWEB) , ... August 22, ... ... senior strategic advisor. Mr. Stewart is the Founder and Managing Member for t4 ... elements that have become critical to his definition of “success”: physician leadership development, ...
(Date:8/21/2017)... ... August 22, 2017 , ... PracticeMatch, a company that provides online resources ... physicians and advanced practitioners like nurse practitioners and physician assistants , ... November of this year. The online career fairs will allow job seekers to connect ...
(Date:8/21/2017)... (PRWEB) , ... August 21, 2017 , ... FCPX LUT ... Editors can quickly and easily add washed color grades to footage. A LUT ... LUT changes every pixel’s color to the corresponding color indicated by the table. This ...
(Date:8/21/2017)... ... August 21, 2017 , ... ... involvement program serving the people of Michigan. The new initiative fundraises for the ... at the very forefront of animal protection and welfare by addressing the root ...
Breaking Medicine News(10 mins):
(Date:8/1/2017)... 2017   CerSci Therapeutics , a non-opioid drug ... , has received notice from the National Institute on ... (NIH) that it has been awarded a Direct-to-Phase II ... in 2017 with an additional $1,000,000 to follow in ... application of their lead non-opioid drug candidate CT-044 to ...
(Date:7/28/2017)... Hill-Rom Holdings, Inc. ("Hill-Rom") (NYSE: HRC), today announced financial ... 2017, and updated its financial outlook for fiscal 2017. ... fiscal third quarter, Hill-Rom reported earnings of $0.09 per ... the prior-year period. These results reflect after-tax special items, ... related to the non-cash write-down of assets associated with ...
(Date:7/26/2017)... Colo. , July 26, 2017 E.I. ... Guttridge and the Bimini SharkLab to custom design the worlds ... images of sharks in their native habitat. In preparation ... Discovery Channel,s Shark Week, Dr. Guttridge approached EIMI ... take pregnancy diagnosis directly to hammerhead sharks underwater. ...
Breaking Medicine Technology: