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HEALTH CARE PLAYERS

Tuesday, August 25, 2009 8:30 AM

American College of Radiology
This association boasts 32,000 members in radiology-related professions, including radiologists, medical physicists and radiation oncologists.

What They Want
ACR would like to see three issues addressed in health care reform legislation: medical malpractice reform, physician self-referral and the implementation of computerized physician order entry (CPOE) technology.

hc_lobbyists_sig.jpg

As health care providers, who are affected by medical malpractice insurance rates, radiologists would like to see limits on the amount of money that can be paid out in malpractice cases.

"We hope and continue to hope [medical malpractice reforms] will be part of the health care reform discussion," said Ariel Gonzalez, ACR's director of congressional relations. "However, it looks like that isn't going to be the case this time."

The group also wants better regulation of physician self-referral for imaging services because the "financial conflict of interest" can hurt patients, Gonzalez said. Laws were passed in 1993 regulating imaging device referrals, but the self-referral loophole popped up because most doctors didn't own the machines at the time.

Another patient safety issue the ACR is pushing deals with how imaging services are ordered. Currently, radiology benefit management companies determine what tests a doctor can order for a patient, and if they say no, their word is final, Gonzalez said. But using CPOE technology instead would standardize the process, ACR contends, ensuring "the right test or the right scan is being ordered at the right time for the right person."

Doctors would input symptoms, and CPOE would give the doctor a rating of 0 to 10 on the appropriateness of the test. The technology would also track how many of each type of test doctors order, and it could be integrated into health information technology systems to avoid duplicating test orders. As a result, test orders would decrease, Gonzalez predicted, which would cut overall health care costs and protect patients from overexposure to radiation.

ACR also supports changing the sustainable growth rate, which ties Medicare payments to doctors to the growth of the economy, rather than health care costs.

Deal Breakers
ACR's top priority for reform legislation is to keep one proposed provision out: cuts to medical imaging diagnostics.

The House bill includes an increase in the utilization rate assumption that would require facilities to keep their imaging devices -- like MRI and CT scan machines -- in use 75 percent of the time that the facility is open, up from the current 50 percent.

ACR might be expected to support an increase in the use of imaging devices, but the change would actually cut government reimbursement rates for imaging services, which would hurt radiologists. For example, doctors who own CT and MRI machines would see a 25 percent decrease in reimbursements, Gonzalez said.

That's in addition to reimbursement cuts that were made for imaging services in 2005 as part of the Deficit Reduction Act.

"We're kind of being whacked twice here in four years," Gonzalez said.

ACR believes the proposed cuts are "based purely on garnering savings for Medicare, without considering patient access," Gonzalez added.

House leaders -- including Speaker Nancy Pelosi, D-Calif., Majority Leader Steny Hoyer, D-Md., and Minority Leader John Boehner, R-Ohio -- agree with ACR on the issue. In a June letter to President Obama, they asked that the administration "reject arbitrary cuts to imaging services or changes to the utilization rate assumption."

How Much They've Spent
ACR has spent $2.1 million on all lobbying activities for the first six months of 2009, according to lobbying disclosure forms. In the first half of 2008, the group spent $1.6 million on lobbying.

For the 2010 election cycle, ACR's PAC has contributed $582,500 to federal candidates and committees, and during the 2008 election cycle, the PAC contributed almost $1.7 million, according to Federal Election Commission records. Recipients this cycle have included the Blue Dog PAC, Congressional Black Caucus PAC, both parties' House and Senate committees, and House and Senate Democratic leaders. Of the $220,000 that has been donated to federal candidates this cycle, 68 percent to Democrats and 32 percent to Republicans, according to the Center for Responsive Politics.

ACR's total revenue for 2007 was $77.2 million, according to IRS forms.

Key Players
Harvey Neiman, executive director of ACR, has met with members of Congress on health care reform issues and has encouraged ACR's members to get involved as well. Before joining ACR, Neiman was chief medical officer and radiology department chair at Western Pennsylvania Hospital in Pittsburgh; cardiovascular radiology chief at Walter Reed Army Medical Center; and cardiac radiology chief at University Hospital in Ann Arbor, Mich.

"We've been working with congressional members and their staffs to address issues that are important to the medical community in general as well as issues that are important to the diagnostic imaging community," Gonzalez said.

Gonzalez estimated that 90 percent of ACR staff's time and resources this year have gone to "making sure the voices of our radiologists, as well as the patients we serve, are being heard" on health care reform.

James Thrall, chairman of the group's board of chancellors, has also been involved in promoting the group's stance on health care reform. He is radiologist in chief at Massachusetts General Hospital in Boston and a professor of radiology at Harvard Medical Center. Thrall is also a member of the Advisory Committee to the Director of the National Institutes of Health, which provides policy advice to the NIH.

"We remain dedicated to improving the quality of medical imaging and patient care in the United States, and firmly believe that medical malpractice reform must be included in health care reform efforts to truly fix a broken health care delivery system," Thrall wrote in a letter to Obama earlier this month.

Neiman and Thrall are not registered lobbyists. Joshua Cooper, senior director of government relations, heads ACR's team of seven registered lobbyists.

Links
ACR's Web Site
Thrall's Letter To Obama

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 I think health care reform is needed in this country. We have a lot of work to do to get it passed. The reform will benefit a lot of people. This is why is so important and why we need it so eveyrone can get healthcare.<a href="www.deweyduck.com">residual income</a>

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Saturday, December 4, 2010

I think health care reform is needed in this country. We have a lot of work to do to get it passed. The reform will benefit a lot of people. This is why is so important and why we need it so eveyrone can get healthcare.<a href="www.deweyduck.com">residual income</a>

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Saturday, December 4, 2010

I think health care reform is needed in this country. We have a lot of work to do to get it passed. The reform will definitely benefit a lot of people. This is why is so important. <a href="www.deweyduck.com">residualincome</a>

Marcus

Sunday, November 28, 2010

In the era of healthcare reform, healthcare reimbursement rates are under rapid and uncertain change, placing radiologists in a position of compensation pressure, heightened competition and increased government mandated quality reporting. sinus symptoms | neti pots sinus infection

Natalie

Thursday, November 18, 2010

I understand why American College of Radiology wants medical malpractise reform. The limits should be set on amount of money that can be paid out in malpractice cases. There were so many issues with malpractise cases. The reform is highly needed. Natalie from web hosting reviews

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Tuesday, November 16, 2010

The workers then continued to drag McBeth out of the building and down the cement stairs.ex girlfriend videos

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Monday, November 15, 2010

I hardly ever write comments on blogs, but your article urged me to praise your blog. Thanks for the read, I will surely favorite your site and check in occasionally. Cheers. Los Angeles Dentist

 

Amy Mott

Sunday, November 14, 2010

I think health care reform is needed in this country. We have a lot of work to do to get it passed. The reform will definitely benefit a lot of people. This is why is so important.

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Tuesday, November 9, 2010

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Monday, November 8, 2010

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Sam

Monday, November 8, 2010

Pretty good post. I just stumbled upon your blog and wanted to say that I have really enjoyed reading your blog posts. Any way I'll be subscribing to your feed and I hope you post again soon.
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Jack B

Thursday, October 28, 2010

It is awesome writing topic for my term paper writing in college about Radiology.

Madela

Saturday, October 16, 2010

Took me  some time to browse through all the comments, but I really like the post. It proved to be very helpful . It's always neat when you can be informed and entertained. thanks for this nice article

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jim

Thursday, October 14, 2010

If the American people don't believe the stimulus bill created jobs, it's not just because of the inflated numbers in early reports of jobs "created or saved" last year.Scented Candles

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Tuesday, October 12, 2010

I never read about ACR before and today I came to know a new info which I never heard about.And ver pleased to see the issues they were addressed.San Jose Movers

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Monday, October 4, 2010

I think health care reform is needed in this country. We have a lot of work to do to get it passed. The reform will definitely benefit a lot of people. This is why is so important.

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james ryan

Monday, September 27, 2010

There is definitely reform needed in this country. WE have to fix this in the future. We definitely need it.

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Andly

Friday, September 24, 2010

Radiologists hold some of the best paying jobs in medicine with generous benefits. So it is no wonder that radiologists have good reasons to be defensive about the reform. However, it seems that radiologists may not be so lucky this time around in defending this reform that is trying to level the playing field between radiologists and primary care physicians. kill bed bugs | bed bug spray

Andly

Friday, September 24, 2010

Radiologists hold some of the best paying jobs in medicine with generous benefits. So it is no wonder that radiologists have good reasons to be defensive about the reform. However, it seems that radiologists may not be so lucky this time around in defending this reform that is trying to level the playing field between radiologists and primary care physicians. kill bed bugs | bed bug spray

Thanks

Tuesday, September 21, 2010

That´s really a nice and worthy post by you.
Keep it up with the good work.
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Tuesday, September 14, 2010

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Tuesday, September 14, 2010

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Wednesday, June 23, 2010

Radiology has already had more than its share of uncertainty in recent months. Markets for new projects have evaporated as reimbursement rates have been cut, the growth of imaging services revenue has slowed, financial capital is scarce, and potential investors have lost confidence in the economic engine of medical imaging technology.

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Saturday, September 11, 2010

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I think health care reform needs to be passed in the future. There is so many people without insurance that need it badly. Lets get this passed and it get it going.

Ruby Gender

Saturday, September 4, 2010

Thank u so much dude for sharing your wonderful experiences with all of us.i am gonna come back again looking for some updates.Thanks.
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Megan Roberts

Saturday, September 4, 2010

Thanks for taking the time to discuss this, I feel strongly about it and love learning more on this topic. If possible, as you gain expertise, would you mind updating your blog with more information? It is extremely helpful for me.
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Ronald Regans

Saturday, September 4, 2010

I admit, I have not been on this webpage in a long time... however it was another joy to see It is such an important topic and ignored by so many, even professionals. I thank you to help making people more aware of possible issues.
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Saturday, September 4, 2010

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Amy Mott

Sunday, August 22, 2010

 Insurance rates are crazy because of malpractice lawsuites   

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Amy Mott

Sunday, August 22, 2010

Everyone loves to pick on the Affordable Care Act (ACA), and well they should.  As Seen On TV Store

Amy Mott

Sunday, August 22, 2010

 Everyone loves to pick on the Affordable Care Act (ACA), and well they should.  <a href="http://www.SeenOnTVStore.com">As Seen On TV</a>

Tower Defence

Thursday, August 12, 2010

Everyone loves to pick on the Affordable Care Act (ACA), and well they should. This 2,000+ page contraption, this heap of handouts to the special interest lobbyists with a few shiny baubles thrown in to placate the common folk, was not only written by the for-profit health insurance industry but now will be implemented by former WellPoint/Anthem Vice President Liz Fowler who actually penned much of the law in her role as Max Baucus’ chief healthcare counsel for the Senate Finance Committee.

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Tower Defence

Thursday, August 12, 2010

Everyone loves to pick on the Affordable Care Act (ACA), and well they should. This 2,000+ page contraption, this heap of handouts to the special interest lobbyists with a few shiny baubles thrown in to placate the common folk, was not only written by the for-profit health insurance industry but now will be implemented by former WellPoint/Anthem Vice President Liz Fowler who actually penned much of the law in her role as Max Baucus’ chief healthcare counsel for the Senate Finance Committee.

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pooh33

Friday, August 6, 2010

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Carl

Monday, July 26, 2010

Harvey Neiman was chief medical officer and radiology department chair at Western Pennsylvania Hospital in Pittsburgh.

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Wednesday, July 21, 2010

A federal judge today is hearing arguments on whether Congress had the authority to enact President Barack Obama's health care reform earlier this year.   Dog Arthritis
 

Jim Karter

Thursday, July 15, 2010

The Patient Protection and Affordable Care Act of 2010 (PPACA) is being touted by its proponents as moving the country to near-universal coverage and a great step ahead in U.S. health care. But what does this really mean? Are the many barriers to care almost a thing of the past?

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james caine

Friday, July 9, 2010

I think health care reform needs to be passed in the future. There is so many people without insurance that need it badly. Lets get this passed and it get it going.

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james caine

Monday, June 28, 2010

malpractice insurance rates is hurting everybody when it comes to insurance rates. If we can get a cap on this it will help a lot of people. This will bring down insurance rates a lot. I hope this happens in heatlh care reform.

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Wednesday, June 23, 2010

Radiology has already had more than its share of uncertainty in recent months. Markets for new projects have evaporated as reimbursement rates have been cut, the growth of imaging services revenue has slowed, financial capital is scarce, and potential investors have lost confidence in the economic engine of medical imaging technology.

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