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Neiman Center Issues Policy Brief Outlining Innovative Health Care Payment Models to Provide Cost-Effective Specialty Care for Patients
Date:6/11/2013

WASHINGTON, June 11, 2013 /PRNewswire-USNewswire/ --  As efforts to create Accountable Care Organizations and other shared savings programs gain momentum in the health care system, a policy brief issued today by the Harvey L. Neiman Health Policy Institute outlines innovative payment models that can achieve the dual goals of health system sustainability and providing patients affordable, cost-effective access to medical imaging and other specialty services.

The policy brief, "Beyond Fee-For-Service:  Emerging Payment Models in Radiology," makes clear that the imperative of shared savings programs -- which incentivize providers to curb costs by making them assume greater financial risk for a patient's care -- doesn't have to reduce access to specialty care. In fact, as the brief states, new payment models can "align provision and payment of specialty care with efforts to ensure a sustainable, high-quality health care system."

"One of the potential harms of making providers responsible financially for the totality of a patient's care is that it can create incentives to withhold services in order to maximize profits," said Neiman Institute CEO Richard Duszak, MD, FACR. "This undermines the primary goal of health reform, to provide better care and improve outcomes in order to contain costs through enhanced long-term health and wellness."

The Neiman Institute policy brief focuses on new payment models for both inpatient care as well episodic care, such as screening mammograms.

"What this policy brief tells us is that we can use 'big data' and what we know about care patterns to design payment models that employ imaging and various specialty care services for the right patients at the right time, in a cost-effective manner," explained Duszak.

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SOURCE Harvey L. Neiman Health Policy Institute
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