Innovation in diagnostic imaging services: assessing the potential for value-based reimbursement

Acad Radiol. 2011 Sep;18(9):1109-14. doi: 10.1016/j.acra.2011.04.007. Epub 2011 Jun 23.

Abstract

Innovation in the field of diagnostic imaging is based primarily on the availability of new and improved equipment that opens the door for new clinical applications. Payments for these imaging procedures are subject to complex Medicare price control schemes, affecting incentives for appropriate use and innovation. Achieving a "dynamically efficient" health care system-one that elicits a socially optimal amount of innovation-requires that innovators be rewarded in relation to the value they add and can demonstrate with evidence. The authors examine how and whether value-based reimbursement for diagnostic imaging services might better reward innovation explicitly for expected improvements in health and economic outcomes.

MeSH terms

  • Diagnostic Imaging / economics*
  • Diagnostic Imaging / trends*
  • Diffusion of Innovation*
  • Drug Discovery / economics
  • Fee Schedules
  • Humans
  • Medicare / economics*
  • Models, Economic
  • Reimbursement Mechanisms*
  • Relative Value Scales
  • United Kingdom
  • United States