Evidence map›Paper›PMID 40702379›Full record

ArticleInternational journal of health economics and management2025

Fee cuts for radiology and low-value imaging.

David H Howard, Michal Horný, Marcus Dillender

Abstract read
PubMed Publisher
In one paragraph

Article in International journal of health economics and management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

3 authors.

David H HowardDepartment of Health Policy and Management, Emory University, 1518 Clifton Road NE, Atlanta, GA, 30322, USA. david.howard@emory.edu.
Michal HornýSchool of Public Health & Health Sciences, University of Massachusetts, Amhert, MA, USA.
Marcus DillenderDepartment of Medicine, Health, and Society, Vanderbilt University, Nashville, TN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Based on the belief that fee-for-service reimbursement contributes to the overuse of costly medical procedures, policymakers have sought to cut payments for low-value services. Using a difference-in-differences model and Medicare claims linked with cancer registry records, we evaluate the impact of a large payment reduction for an imaging procedure commonly used in prostate cancer patients. We find that the payment cut did not affect imaging use, even in low-risk patients for whom imaging is not recommended. Our results suggest that supply may be relatively insensitive to fee levels when decisions about the use of a service are made exclusively by referring physicians, not the physicians who deliver and receive payment for it.

Indexed as

Fee-for-Service PlansMagnetic Resonance ImagingMedicareProstatic NeoplasmsTomography, X-Ray ComputedAdministrative Claims, HealthcareHealth PolicyHumansMaleMedical OveruseModels, EconomicRadiologistsRadiologyReferral and ConsultationRegistriesUnited StatesOverusePayment policyPhysician behaviorPhysician-induced demandReimbursementSupply of health care services

Identifiers

PMID40702379

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.