News | Interventional Radiology | January 11, 2017

Neiman Institute Study Evaluates National Trends in Enteral Access Procedures

JVIR study finds rise in maintenance services with radiologists as leading providers

Neiman Institute study, national trends, enteral access procedures, JVIR, Journal of Vascular and Interventional Radiology

January 11, 2017 — According to a recent study by the Harvey L. Neiman Health Policy Institute, the last two decades have seen a substantial decline in new enteral access procedures in the Medicare population. The study, published online in November in the Journal of Vascular and Interventional Radiology (JVIR), also found that maintenance services have increased, with radiologists and emergency physicians surpassing gastroenterologists and surgeons as the leading providers of those procedures.

“Using aggregated Medicare claims data from 1994 through 2012, we evaluated national trends in enteral access procedures in regard to utilization rates, specialty group roles and sites of service,” said lead study author and University of Pennsylvania radiology resident Wenshuai Wan, M.D.

Wan and his colleagues found that after a prior period of increasing enteral access via both open and percutaneous placement of gastrostomy feeding tubes, procedures to establish new access decreased from 61.6 to 42.3 per 10,000 Medicare Part B beneficiaries. Over 80 percent of those procedures are performed by gastroenterologists and surgeons, with 97 percent occurring in the hospital setting. The researchers also found that existing enteral access maintenance procedures such as replacement and salvage services increased from 20.1 to 25.9 during the same time frame.

“The transition of enteral access maintenance services from the hospital to the emergency room setting demonstrates a shift in the provider base while also indicating the urgency or perceived urgency for enteral feeding access maintenance by patients and their caretakers,” noted Richard Duszak, M.D., FACR, professor and vice chair for health policy and practice in the department of radiology and imaging sciences at Emory University and affiliate senior research fellow at the Harvey L. Neiman Health Policy Institute.

While Duszak believes that some of the overall decline in new enteral access procedures is guidelines-driven, he notes that much is probably related to the fact that interventional radiologists are playing an increasing role in keeping old access sites patent.

“These findings should help radiologists and their health system provider partners develop integrated practice units and alternative payment models for cost-effective care of conditions requiring enteral access,” added Wan.

For more information: www.jvir.org

Related Content

News | Business| January 16, 2018
American College of Cardiology (ACC) Chief Executive Officer Shalom “Shal” Jacobovitz will be leaving the College...
CMS Launches New Voluntary Bundled Payments Model
News | Business| January 10, 2018
The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center)...
Toshiba Medical Systems Changes Name to Canon Medical Systems Corp.
News | Business| January 08, 2018
January 8, 2018 — Canon Inc. and Canon Medical Systems Corp.
CMS Announces Final Changes, Cancellations of Mandatory Bundled Payment Models
News | Business| December 21, 2017
The Centers for Medicare & Medicaid Services (CMS) last week finalized the cancellation of the mandatory hip...
Catheter reprocessing can reduce costs in the cath and EP lab.
Feature | Business| December 19, 2017 | Lars Thording
As payers and other healthcare entities look to better manage costs, especially in the acute care setting, it is impo
FDA Issues Final Guidance on Investigational Device Exemption Categorization
News | Business| December 19, 2017
The U.S. Food and Drug Administration (FDA) recently issued a final guidance, “FDA Categorization of Investigational...
Congressional Budget Office Finds cutting ACA insurance mandate will cause 13 million people to become uninsured, higher insurance premiums. American Heart Association (AHA), #AHA2017
News | Business| December 06, 2017
December 6, 2017 — At the American Heart Association (AHA) annual meeting in November, a group of 16 non-partisan pat
5 Tips for Medical Device Engineers on FDA Design Controls
Feature | Business| November 24, 2017 | Jon Speer
If you are an engineer in the medical device industry, you probably have a love/hate relationship with the FDA-mandat
Videos | Business| November 09, 2017
A discussion with Peter L.
SCAI Successful in Securing Inpatient Status for AMI-PCI Patients
News | Business| November 09, 2017
In the Society for Cardiovascular Angiography and Interventions’ (SCAI) comment letter to the Centers for Medicare...
Overlay Init