MICI Q2: Confidence low in Medicare payment rates

2013 04 29 13 26 09 979 2013 Mici Chart Q2 130426 200

Radiology administrators are confident that their internal costs will remain constant and their practices will maintain or increase growth in the coming months, according to second-quarter 2013 data from the Medical Imaging Confidence Index (MICI). But they're not so sure they'll receive adequate reimbursement from Medicare for diagnostic and interventional imaging.

The MICI survey, which is produced by the MarkeTech Group and AHRA, found that when asked about their expectations for the period of April to June 2013, survey participants expressed "very low confidence" that Medicare reimbursement for diagnostic and interventional radiology will be sufficient.

The Web-based survey covering radiology administrator options and attitudes for the second quarter of 2013 was completed by 152 imaging directors and managers of hospitals. Of the facilities represented in the survey, 46% were hospitals with fewer than 100 beds, 35% had between 100 and 299 beds, and 19% had 300 or more beds, according to MICI.

MICI gathered survey participants from across the U.S., with 13% based in the Pacific region, 10% in the Mountain region, 12% in the West North Central region, 17% in the East North Central region, 9% in the Mid-Atlantic region, 16% in the South Atlantic region, 12% in the East South Central region, and 12% in the West South Central region.

Participants were asked to rate their optimism about five topics, shown in the graphic below. Scores ranged from 0 to 200 and can be interpreted as follows:

  • < 50 = extremely low confidence
  • 50 to 69 = very low confidence
  • 70 to 89 = low confidence
  • 90 to 110 = an ambivalent score (neutral)
  • 111 to 130 = high confidence
  • 131 to 150 = very high confidence
  • > 150 = extremely high confidence
MICI second quarter

The MICI panel is a longitudinal cohort that consists of members of MarkeTech's ImagePro professional community, from which it selects radiology administrators to participate in studies. ImagePro members come from across the U.S. and represent different hospital sizes and geographic locations. The same members are queried with each survey round to ensure consistency of the results over time.

The report results reflect national trends because participants are recruited by region and number of beds to reflect known American Hospital Association incidence, according to the MarkeTech Group and AHRA. Once the final counts are confirmed, MarkeTech performs statistical weighting to ensure the index reflects the U.S. hospital imaging market, the two firms said.

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