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Utilization Management and ACR Select.

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    Summary
    This summary is machine-generated.

    ACR Select, an imaging appropriateness standard, offers clinically relevant criteria for diverse scenarios. Its integration supports value-based care and positions providers for risk-based contracts under new regulations like PAMA.

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    Area of Science:

    • Medical Imaging
    • Health Informatics
    • Healthcare Policy

    Background:

    • The American College of Radiology (ACR) developed ACR Select as an industry standard for medical imaging.
    • ACR Select incorporates numerous clinically relevant indications and content from other medical societies.
    • It is designed for integration into physician access points and supports regulatory requirements.

    Purpose of the Study:

    • To highlight the capabilities and market position of ACR Select.
    • To explain how ACR Select facilitates appropriate imaging utilization.
    • To demonstrate the role of ACR Select in value-based care and risk-based contracting.

    Main Methods:

    • ACR Select aggregates and vets criteria from multiple sources.
    • It is integrated into physician ordering systems.
    • The platform supports compliance with legislation such as PAMA.

    Main Results:

    • ACR Select has added hundreds of indications, ensuring coverage for common and complex imaging scenarios.
    • Healthcare providers adopting ACR Select improve imaging quality and understand its impact on patient care.
    • This adoption enhances providers' ability to participate in risk-based contracts.

    Conclusions:

    • ACR Select is a robust tool for managing imaging utilization and promoting appropriate use.
    • The Protecting Access to Medicare Act (PAMA) mandates the use of appropriateness criteria, creating opportunities for widespread adoption.
    • ACR Select positions healthcare providers to leverage appropriate imaging for value-based care models across all payers.