DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Mobile Imaging
SEARCH
Current Location:
>
> This Story


Log in or Register to rate this News Story
Forward Printable StoryPrint Comment

 

 

CT Homepage

Philips to sell Dunlee facility to new CT tube company: source Chronos Imaging reportedly purchasing the Aurora, IL, site

FDA greenlights AI software for stroke warning in CT analysis Enables specialists to intervene before notified by a radiologist

FDA clears the Arterys Oncology AI suite Designed for liver MR and CT and lung CT

Study finds patients lack info about imaging exams Researchers uncover what they want to know

Philips to invest in new R&D facility in Cleveland, Ohio Will also cease manufacturing operations there

Danish university installs MILabs PET/SPECT/CT system Will be used to investigate neuronal disorders on the basis of glial biology

Study finds PSMA PET/CT can identify early prostate cancer recurrence Already a standard in Europe

Mount Sinai researchers train machine learning tool to understand radiology reports Testing demonstrated 91 percent accuracy

'Time equals brain' may not be the case anymore, study finds Some patients can be treated 16 hours after onset of stroke

Siemens partners with Florida Hospital to improve outcomes for patients with acute chest pain The first phase of a long-term collaboration

Anthem presses forward with new MR, CT reimbursement guidelines

by Thomas Dworetzky , Contributing Reporter
The health insurance giant Anthem Blue Cross and Blue Shield has continued to roll out its new guidelines for imaging services reimbursements, which push for increased use of cheaper out-of-hospital facilities for both MR and CT, according to the Richmond Times-Dispatch.

The plan has been rolling out in stages. When it began in July, it impacted local plans in Indiana, Kentucky, Missouri and Wisconsin. Then on September 1, it expanded to Ohio, Colorado, Nevada, Georgia and New York. In March, 2018, it will move to include Connecticut, Maine, and Virginia.

Story Continues Below Advertisement

RaySafe helps you avoid unnecessary radiation

RaySafe solutions are designed to minimize the need for user interaction, bringing unprecedented simplicity & usability to the X-ray room. We're committed to establishing a radiation safety culture wherever technicians & medical staff encounter radiation.



An Anthem subsidiary, AIM Specialty Health, is identifying “when hospital outpatient services for certain imaging tests, such as MR and CT scans, are medically unnecessary,” in the hospital setting, according to the Richmond paper. When that is the case, patients can get them at cheaper free-standing facilities.

“In those cases, these members can save close to $1,000 out-of-pocket for some imaging services, for those who haven’t met their deductible, and up to $200 for those whose plans require only a copay,” Lori McLaughlin, a spokesperson for Anthem Inc., told HCB News in August.

The cost differences can be dramatic between in-hospital and free-standing scan facilities.

According to Virginia Health Information, In central Virginia, an MR scan of a knee ran $597 in 2015 when done out-of-hospital, compared to $1,678 inside. An abdominal CT scan that cost $385 at a scanning center was $1,233 at the hospital.

Some have warned, however, that the focus on cost may have a negative impact on patients.

Julian Walker, spokesman for the Virginia Hospital & Healthcare Association, told the paper that the approach could lead to “care fragmentation,” and make getting the right care even more complicated for patients.

“Decisions about advanced imaging tests that patients need to diagnose and treat an illness or injury should be made with patient interests in mind,” said Walker. “Decisions by insurers to restrict where patients are permitted to receive a necessary medical procedure fail to meet that standard.”

When Anthem announced its plan, The American College of Radiology, called the move “arbitrary and unwise.”

“Denying patients covered access to care at such a vast number of facilities will delay care, increase wait times and force many patients to travel outside of their communities to get advanced imaging,” the statement read. “The policy may particularly impact patients in inner city and rural areas. In many areas, the local hospital outpatient setting may be the only immediate access point for advanced imaging outside of the main hospital.”

Anthem has stated that it intends to apply the new policy only when “at least two alternative free-standing imaging centers” exist that its clients can access, according to the Times-Dispatch report.

CT Homepage


You Must Be Logged In To Post A Comment

Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Quotes
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2018 DOTmed.com, Inc.
ALL RIGHTS RESERVED