Better to Eat than Be Eaten

This post was contributed by Geraldine B. McGinty, MD, MBA, FACR, chair of the American College of Radiology Board of Chancellors.

Dr.McGinty(updated)_andcroppedWhen it comes to shaping health care’s move from volume to value-based care, “if you are not at the table, you are on the menu.”

As I stated in my recent presentation at the American Society of Neuroradiology (ASNR) Annual Meeting, value-based payment is not going anywhere. Despite recent slowdowns in the implementation of the MACRA legislation we must remain engaged.

One of the primary challenges that ACR is addressing is developing metrics that accurately apply to our work. It is challenging to develop “metrics that matter.” Several ACR commissions and scores of College volunteers and staff are doing so.

We are also in dialogue with the Centers for Medicare & Medicaid Services (CMS) to help ensure that these metrics are what will be applied to radiology as Medicare’s Quality Payment Program moves forward (and not those made up for us by others).

Imaging clinical decision support (CDS) is a unique opportunity for radiologists to demonstrate their value as stewards of appropriate imaging. Starting Jan. 1, 2020, Medicare will require referring providers to consult these appropriateness-criteria based systems prior to ordering advanced imaging for Medicare patients.

The Radiology Support Communication and Alignment Network (R-SCAN™) is a great (free) way for you and your referring providers to get started with CDS now.

You can build your role as “steward” and gain continuing medical education credit and American Board of Radiology maintenance of certification Part 4 credit.

Both radiologists and referring provider practices can fulfill their improvement activity credit requirement under MIPS by completing an R-SCAN project.

Value-based care is here. ACR is at the table.

  • What is your experience participating in the ACR’s value-based care initiatives
  • What other value-based care initiatives do you think would be helpful for the ACR to support?
  • What barriers have you experienced and what recommendations do you have for overcoming or avoiding?

Please share your thoughts in the comments section below and join the discussion on Engage (login required).



CT Colonography a Good Fit for New CRC Screening Age

Dr. YEEThis post was contributed by Judy Yee, MD, chair of the American College of Radiology Colon Cancer Committee.

The incidence of colorectal cancer in those under the age of 50 is on the rise. In response, the American Cancer Society recently lowered their recommended screening age from 50 to 45.

As younger generations search for more patient-centered medical options, CT colonography (virtual colonoscopy) promises to attract more of these 45-50 year olds (and others) to get screened.

CTC is an American Cancer Society-recommended screening exam. It is as accurate as standard colonoscopy in most people, is less invasive and safer. CTC does not require sedation. It is over in minutes. You can go back to daily activities and you may not need someone else to accompany you and drive you home.

Largely due to ACR-led efforts, 37 states require insurance policies to cover virtual colonoscopy. Insurers that take part in federal exchanges are required by the Affordable Care Act to cover the exam with no patient cost sharing. CIGNA, Aetna, UnitedHealthcare, Anthem Blue Cross Blue Shield and colon-3848others cover the test irrespective of ACA requirements.

This ACS move is an opportunity for radiologists to educate referring providers on  how CT colonography increases screening rates and can attract these new younger patients to get tested.

I urge you to visit the ACR Colon Cancer Resources page. Use the tools and information there to show your referring providers how CT colonography can help attract their patients ages 45 and older to get screened.

These steps can help save lives.

What can the ACR do to help you with starting your CT Colonography practice?

Please share your thoughts in the comments section below and join the discussion on Engage (login required).