Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Radiological Investigation I: X-ray and CT01:30

Radiological Investigation I: X-ray and CT

Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and the...
Radiological Investigation II: MRI and Ventilation Perfusion Scan01:30

Radiological Investigation II: MRI and Ventilation Perfusion Scan

Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
X-ray Imaging01:24

X-ray Imaging

German physicist Wilhelm Röntgen (1845–1923) was experimenting with electrical current when he discovered that a mysterious and invisible "ray" would pass through his flesh but leave an outline of his bones on a screen coated with a metal compound. In 1895, Röntgen made the first durable record of the internal parts of a living human: an "X-ray" image (as it came to be called) of his wife’s hand. Scientists worldwide quickly began their own experiments with X-rays, and by 1900, X-ray was widely...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Magnetic Resonance Imaging01:24

Magnetic Resonance Imaging

Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Early pain-response trajectories after basivertebral nerve ablation and their relationship to 12-month clinical outcomes.

Interventional pain medicine·2026
Same author

Closed-loop SCS and sensing: now and in the future.

Pain medicine (Malden, Mass.)·2026
Same author

Mixed-Duration Basivertebral Nerve Ablation for Vertebrogenic Low Back Pain: Lesion Strategies and Clinical Outcomes in a Multicenter Retrospective Cohort Study.

Pain medicine (Malden, Mass.)·2026
Same author

Application of the Theory of Constraints to Radiology.

Radiographics : a review publication of the Radiological Society of North America, Inc·2026
Same author

Cost-effectiveness analysis of intensity modulated radiation therapy versus robot-assisted radical prostatectomy for patients with low-risk prostate cancer in Japan.

Journal of radiation research·2026
Same author

Patient-reported disease burden and health care utilization of HAE-nl-C1INH: insights from a real-world survey.

Clinical and experimental medicine·2026

Related Experiment Video

Updated: Jun 1, 2026

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging
08:30

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging

Published on: September 11, 2011

Radiology benefit managers: cost saving or cost shifting?

David W Lee1, James V Rawson, Sally W Wade

  • 1GE Healthcare, Wauwatosa, WI, USA. david.w.lee@ge.com

Journal of the American College of Radiology : JACR
|June 4, 2011
PubMed
Summary

Radiology benefit managers (RBMs) shift costs to physicians, and their overall impact on healthcare spending is uncertain due to incomplete data. Further research is needed to fully understand their economic effects.

More Related Videos

Radiation Planning Assistant - A Web-based Tool to Support High-quality Radiotherapy in Clinics with Limited Resources
05:18

Radiation Planning Assistant - A Web-based Tool to Support High-quality Radiotherapy in Clinics with Limited Resources

Published on: October 6, 2023

Related Experiment Videos

Last Updated: Jun 1, 2026

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging
08:30

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging

Published on: September 11, 2011

Radiation Planning Assistant - A Web-based Tool to Support High-quality Radiotherapy in Clinics with Limited Resources
05:18

Radiation Planning Assistant - A Web-based Tool to Support High-quality Radiotherapy in Clinics with Limited Resources

Published on: October 6, 2023

Area of Science:

  • Health economics
  • Health services research
  • Medical imaging utilization management

Background:

  • Radiology benefit managers (RBMs) are increasingly used by private payers to control imaging service costs via prior authorization.
  • Their potential application within the Medicare program has been proposed, necessitating an evaluation of their economic impact.

Purpose of the Study:

  • To develop a framework for assessing how key parameters influence the cost-saving potential of RBMs.
  • To simulate the net societal healthcare cost impact of RBMs using decision-analytic modeling under conditions of uncertainty.

Main Methods:

  • A decision-analytic model simulating a typical RBM prior authorization process was developed.
  • Base-case parameter values (utilization, costs, administrative time, approval rates, fees) were derived from published data and institutional experience.
  • Sensitivity analyses were conducted to address uncertainty in parameter estimates for a hypothetical 100,000-member health plan.

Main Results:

  • In the base-case scenario, RBMs showed no net cost impact, with 28% of projected savings shifting to providers.
  • RBMs were cost-saving in 45% of simulations, with a 95% probability range from a $397,880 decrease to a $341,991 increase in costs.
  • RBM approval rates, fees, imaging utilization, and charges significantly influenced the outcomes.

Conclusions:

  • RBMs demonstrably shift substantial costs to physicians.
  • The net effect of RBMs on societal healthcare costs is contingent upon various parameters with incomplete supporting data.