Providing Professional Mammography Services: Financial Analysis

Enzmann, Dieter R.; Anglada, P. M.; Haviley, Corinne; Venta, Luz A.

doi:10.1148/radiology.219.2.r01ma18467

Cited by 29 publications

(18 citation statements)

References 11 publications

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“…This increase in the difference between charges and reimbursement rates over the past decade is due to the increased difference between costs and reimbursement rates during this same period. These cost data reflect the continuing problems that facilities and radiologists face in providing mammography services [19].…”

Section: Discussionmentioning

confidence: 71%

Community-Based Mammography Practice: Services, Charges, and Interpretation Methods

Hendrick¹,

Cutter

Berns³

et al. 2005

American Journal of Roentgenology

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OBJECTIVE-The purpose of our study was to accurately describe facility characteristics among community-based screening and diagnostic mammography practices in the United States.MATERIALS AND METHODS-A survey was developed and applied to community-based facilities providing screening mammography in three geographically distinct locations in the states of Washington, Colorado, and New Hampshire. The facility survey was conducted between December 2001 and September 2002. Characteristics surveyed included facility type, services offered, charges for screening and diagnostic mammography, information systems, and interpretation methods, including the frequency of double interpretation.RESULTS-Among 45 responding facilities, services offered included screening mammography at all facilities, diagnostic mammography at 34 facilities (76%), breast sonography at 30 (67%), breast MRI at seven (16%), and nuclear medicine breast scanning at seven (16%). Most facilities surveyed were radiology practices in nonhospital settings. Eight facilities (18%) reported performing clinical breast examinations routinely along with screening mammography. Only five screening sites (11%) used computer-aided detection (CAD) and only two (5%) used digital mammography. Nearly two thirds of facilities interpreted screening mammography examinations on-site, whereas 91% of facilities interpreted diagnostic examinations on-site. Only three facilities (7%) interpreted screening examinations on line as they were performed. Approximately half of facilities reported using some type of double interpretation, although the methods of double interpretation and the fraction of cases double-interpreted varied widely across facilities. On average, approximately 15% of screening examinations and 10% of diagnostic examinations were reported as being double-interpreted. Double interpretation of screening mammograms is known to increase sensitivity to breast cancer, while incurring a higher recall rate and additional costs [5][6][7][8]. Although double interpretation of mammograms is common in organized screening programs in other countries [9], its rate of use in the United States has not, to our knowledge, previously been evaluated. CONCLUSION-ComparisonAs part of a project exploring the practice of mammography in the United States, a survey was conducted of 45 community-based screening centers in three geographically distinct locations of the United States. This article reports the results of survey responses concerning mammography practice setting, services offered, charges for screening and diagnostic mammography, interpretation methods, and audit systems. Materials and Methods Study PopulationData for this project were acquired from a survey of community-based, multicenter facilities in three geographically distinct breast cancer surveillance programs: Mammography Facility SurveyA facility survey was developed by a panel of experts in breast imaging, medical physics, economics, biostatistics, and epidemiology. The criteria, construct, and content va...

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Section: Discussionmentioning

confidence: 71%

Community-Based Mammography Practice: Services, Charges, and Interpretation Methods

Hendrick¹,

Cutter

Berns³

et al. 2005

American Journal of Roentgenology

View full text Add to dashboard Cite

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“…There are studies about the costs of radiological procedures where ABC accounting has been applied. These show that ABC can be utilized in many different areas in radiology, and the method has become established [13,15,16,17,18]. The ABC analysis is based on the fact that activities create costs, unlike in conventional accounting where the products create the costs.…”

Section: Discussionmentioning

confidence: 99%

“…In the past decade several cost analyses have been made concerning radiological examinations [13,14,15,16,17,18] and interventions [19,20,21,22,23,24,25]. There are, however, only few studies with a special cost analysis concerning bone biopsies.…”

Section: Introductionmentioning

confidence: 99%

Cost comparison analysis of low-field (0.23�T) MRI- and CT-guided bone biopsies

et al. 2004

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The aim of this study was to analyze and compare the costs of low-field (0.23 T) MRI- and CT-guided bone biopsies. The cost comparison consisted of 18 MRI-guided and 12 CT-guided bone biopsies performed during a 1-year period. The costs and activities of these two methods were analyzed by using activity-based cost accounting (ABC). The costs of MRI-guided bone biopsy (1205 Euro) were 2.55-fold compared with those of the CT-guided bone biopsy (472 Euro). The higher costs of the biopsy procedure in MRI were due to the higher material (5.57-fold) and personnel (2.73-fold) costs. The MRI-guided bone biopsies proved to be considerably more expensive than CT-guided bone biopsies. This was due to the higher material costs, especially the highly priced MRI compatible instrumentation and the longer procedure time. The MRI guidance in performing bone biopsies should be justified on the basis of the better accuracy and the lack of radiation. Evaluations of cost-effectiveness concerning MRI-guided bone biopsy are needed.

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“…In the current environment for breast cancer screening, reimbursement to radiologists for screening studies is limited, at the same time that adverse malpractice liability rulings impose sharp financial risks (11,12). Rapid development of robust image processing and computer-aided diagnostic tools is an urgent priority for the lung cancer screening setting, because the subject numbers along with volume of image data per subject represent an overwhelming data load.…”

Section: Computer-aided Diagnosis In Breast and Lung Cancer Screeningmentioning

confidence: 99%

Clinical Issues in the Management of Early Lung Cancer

Mulshine

2005

Clinical Cancer Research

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Lung cancer is commonly diagnosed after metastatic spread, when therapies are rarely curative, providing an impetus for continued research directed at exploring approaches for cost-effective early lung cancer detection. Recently published pilot studies across three continents support a benefit of spiral computed tomography (CT) in detecting earlier stage non^small cell lung cancer. Improved resolution of early lung cancer is a result of significant changes in CT imaging hardware and software. The status and implications of these developments are reviewed. Many aspects of the management of screening for early lung cancer could be informed by optimizing the downstream clinical management of potential lung cancers identified by CT screening. The first and most critical issue is whether or not this improved detection rate is clearly associated with a reduction in lung cancer^related mortality. However, other related issues such as cost-benefit evaluations are also considered. If smaller, truly localized primary cancer can be routinely detected, then options for less morbid interventions would also be desirable.The rapid improvement in resolution and cost of spiral CT has provided a powerful impetus to reconsider the possibilities for achieving safe, economical, and meaningful early lung cancer detection.

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Providing Professional Mammography Services: Financial Analysis

Abstract: The reimbursement rate for mammography procedures, especially diagnostic mammography, needs to be increased to reflect the current reality of the resources necessary to maintain the accessibility and accuracy of this evolving mix of clinical services.

Cited by 29 publications

References 11 publications

Community-Based Mammography Practice: Services, Charges, and Interpretation Methods

Community-Based Mammography Practice: Services, Charges, and Interpretation Methods

Cost comparison analysis of low-field (0.23�T) MRI- and CT-guided bone biopsies

Clinical Issues in the Management of Early Lung Cancer

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