Minimizing the use of High Dollar Radiology Services
The conversation around the rising costs of health care continues to be a high priority topic of discussion from consumer all the way up to the government. There are many products and services that contribute to the rising costs, as well as some responsibility left to practicing providers who choose to use high dollar radiology services for patient care. There is an overuse of high dollar radiology services in lieu of using conservative treatment and it is important to medically manage those persons individually with medical algorithms. The paper will cover this information as well as how to implement the solutions and the costs associated with the implementation as well as discuss the benefits to the organization as well as offer theoretical and practical reflections for implementing the best solution offered.
High Dollar Radiology
The conversation around the rising costs of health care continues to be a high priority topic of discussion from consumer all the way up to the government. There are many products and services that contribute to the rising costs, as well as some responsibility left to practicing providers who choose to use high dollar radiology services for patient care. Ionizing radiation has been used for more than a century, however, this evolution or radiology services into widespread diagnostic and therapeutic uses has resulted in a significant increase in the population’s overall exposure to radiation with the potential to increase the risk of cancer (Amis & Butler, 2010). Examples of high dollar radiology services are services like Magnetic Resonance Imaging (MRI), Computer Tomography (CT) scans, and Echocardiograms. These services allow physicians to view patients internal anatomy with clarity and benefits for the field of medicine, however, the exceptional growth has made a huge impact on the cost of high dollar radiology (Duford, 2009).
Many health insurance companies and health systems are encouraging providers and members (this encouragement usually comes with some sort of incentive) to use high dollar radiology services as the last resource rather than the first resource for a course of care. According to Duford (2009), high dollar radiology costs, which have a twenty percent annual growth rate, are now the fastest rising medical expense. The author also stated, according to a report by the Association of Health Insurance Plans, one hundred billion dollars a year are spent on imaging services in the United States and expects to double in four years (Duford, 2009). Completing the task is overwhelming because there are many providers to reach and convince to reconsider his or her way of using high dollar radiology. Completing the task is overwhelming on the member side as well because there is education to provide to members as to why his or her benefits will not cover any high dollar radiology services until other course of treatment have been tried and...