The health insurer has faced criticism over its use of PA, including a class action lawsuit alleging it denied claims for imaging and other healthcare services in bulk

Nearly 18% of patients receive follow-up imaging or invasive procedures despite negative findings on lung cancer screening CT. 

James McGuckin, MD, most recently made the news in May when the DOJ filed suit against him and his affiliated practices. 

The findings point to a "real need for better tools to identify which women may benefit from screening and which breast cancers are unlikely to be progressive." 

Barriers to radiologists’ success in MIPS include their ineligibility to earn maximum incentive adjustments, despite perfect performance. 

“Imaging for nonspecific low back pain” was listed as the most frequently occurring low-value service, impacting upward of 9.3% of beneficiaries. 

Researchers with NYC Health + Hospitals detailed their large-scale quality improvement project in the Journal of the American College of Radiology.

Given the rapid growth of PE ownership in healthcare, the report's concerning data give pause to how such entities should be regulated, experts involved in the work suggested.