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In This Issue
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Worth Repeating
“This survey confirms that we have a lot of work to do in terms of disseminating a patient-centered approach to uterine fibroids. We need to educate women with fibroids about their treatment options, involve them in the decision-making process, and make all options available—and affordable—for all women.”

Elizabeth A. Stewart, MD, a professor of obstetrics and gynecology and the chair of the division of reproductive endocrinology at the Mayo Clinic and Mayo Medical School in
Rochester, Minnesota, discussing a survey of nearly 1,000 US women with uterine fibroids
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Editor's E-Note
Congressional work to address the frequently maligned Medicare sustainable growth rate (SGR) formula also shows how the Affordable Care Act already is influencing health care—even before the law’s largest insurance provisions take effect in 2014.

The latest draft proposal for the Medicare SGR fix being considered would nudge reimbursement away from the traditional fee-for-service model and toward still developing value-based payment. This month’s E-news Exclusive summarizes the proposal.

— Jim Knaub, editor
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E-News Exclusive
Congress Proposes SGR Fix That Starts Move
Away From Fee for Service
By Jim Knaub

The latest draft proposal to eliminate Medicare’s sustainable growth rate (SGR) “fix” would freeze physician reimbursement for 10 years but add the possibility of additional payments beginning in 2017. Those additional payments would be tied to value-based criteria currently being studied in various Medicare physician quality programs. The objective is to transition away from the current fee-for-service system that rewards procedure volume. The discussion draft was released October 31 and has support from both the Senate Finance and House Ways and Means committees.

Full Story »
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Currently in Radiology Today
Successful Dose of Monitoring
The director of imaging services at White Memorial Medical Center in California discusses his facility’s dose reduction program. Read more »

Analytics — From Data to Decision
Experts weigh in on data management tools and the challenges and opportunities they present. Read more »

Emergency Response
Learn about the ongoing debate regarding the use of coronary CT angiography in low- to moderate-risk patients presenting with chest pain in the emergency department. Read more »

Stroke Treatment Dispute
After three studies concluded there was no significant benefit with intra-arterial ischemic stroke revascularization, the Society of Interventional Radiology released a position paper responding to the studies’ findings. Read more »
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Other Imaging News
Urologists Overuse Radiation Therapy Services for Profit
A review of Medicare claims in The New England Journal of Medicine revealed that the 146% increase in intensity-modulated radiation therapy for prostate cancer patients among urologists was due to self-referrals, according to the American Society for Radiation Oncology.

Johns Hopkins Halts Black Lung Program
Johns Hopkins Medicine has suspended its black lung program after reports from ABC News and the Center for Public Integrity claimed the program benefited coal companies by denying X-ray findings of black lung disease, NPR reports.

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Acoustic Diode May Lead
to Better Ultrasound Images

Researchers at Nanjing University in China have designed a theoretical model of an acoustic diode for ultrasound, which may deliver clearer images and improve diagnosis, according to the American Institute of Physics.

Lung Cancer Screening Programs Plan for Change
Experts on lung cancer screening programs are anticipating an increase in referrals and reimbursement once the US Preventive Services Task Force releases its final recommendation on annual lung cancer screening for high-risk patients, as reported by MedPage Today.
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