Evidence map›Paper›PMID 38756926›Full record

ArticleHealth affairs scholar2024

Decomposition of medical imaging spending growth between 2010 and 2021 in the US employer-insured population.

Michal Horný, Daniel Chang, Eric W Christensen, Elizabeth Y Rula, Richard Duszak

Abstract read
In one paragraph

Article in Health affairs scholar, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Fee cuts for radiology and low-value imaging.International journal of health economics and management · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Michal HornýDepartment of Radiology and Imaging Sciences, School of Medicine, Emory University, Atlanta, GA 30322, United States.ORCID https://orcid.org/0000-0003-3624-6398
Daniel ChangDepartment of Radiology and Imaging Sciences, School of Medicine, Emory University, Atlanta, GA 30322, United States.ORCID https://orcid.org/0000-0002-1762-6670
Eric W ChristensenHarvey L. Neiman Health Policy Institute, Reston, VA 20191, United States.ORCID https://orcid.org/0000-0003-1377-0787
Elizabeth Y RulaHarvey L. Neiman Health Policy Institute, Reston, VA 20191, United States.ORCID https://orcid.org/0000-0003-2188-1102
Richard DuszakDepartment of Radiology, School of Medicine, University of Mississippi, Jackson, MS 39216, United States.ORCID https://orcid.org/0000-0003-0425-3008

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medical imaging, identified as a potential driver of unsustainable US health care spending growth, was subject to policies to reduce prices and use in low-value settings. Meanwhile, the Affordable Care Act increased access to preventive services-many involving imaging-for employer-sponsored insurance (ESI) beneficiaries. We used a large insurance claims database to examine imaging spending trends in the ESI population between 2010 and 2021-a period of considerable policy and benefits changes. Nominal spending on imaging increased 35.9% between 2010 and 2021, but as a share of total health care spending fell from 10.5% to 8.9%. The 22.5% growth of nominal imaging prices was below inflation, 24.3%, as measured by the Consumer Price Index. Other key contributors to imaging spending growth were increased use (7.4 percentage points [pp]), shifts toward advanced modalities (4.0 pp), and demographic changes (3.5 pp). Shifts in care settings and provider network participation resulted in 2.5-pp and 0.3-pp imaging spending decreases, respectively. In sum, imaging spending decreased as a share of all health care spending and relative to inflation, as intended by concurrent cost-containment policies.

Indexed as

employer-sponsored insurancehealth care pricesimagingspending

Identifiers

PMID38756926
PMCPMC10986240

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.