Journal of the American College of Radiology
Volume 7, Issue 1 , Pages 33-38, January 2010

A Prior Authorization Program of a Radiology Benefits Management Company and How It Has Affected Utilization of Advanced Diagnostic Imaging

  • David C. Levin, MD

      Affiliations

    • Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania
    • HealthHelp, Inc, Houston, Texas
    • Corresponding Author InformationCorresponding author and reprints: David C. Levin, MD, Thomas Jefferson University Hospital, Department of Radiology, Main 1090, Philadelphia, PA 19107
  • ,
  • Robert L. Bree, MD

      Affiliations

    • HealthHelp, Inc, Houston, Texas
    • Department of Radiology, University of Washington Medical Center, Seattle, Washington
  • ,
  • Vijay M. Rao, MD

      Affiliations

    • Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania
  • ,
  • Jean Johnson, MBA, MHA

      Affiliations

    • HealthHelp, Inc, Houston, Texas

Radiology benefits management companies have evolved in recent years to meet the need to control the rapid growth in advanced diagnostic imaging. The Obama administration and other key policymakers have proposed using them as a cost-control mechanism, but little is known about how they operate or what results they have produced. The main tool they use is prior authorization. The authors describe the inner workings of the call center of one radiology benefits management company and how its prior authorization program seems to have slowed the growth in the utilization of MRI, CT, and PET in the large markets of one commercial payer.

Key Words: Medical economics, preauthorization, prior authorization, radiology benefits managers, radiology and radiologists, socioeconomic issues

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 Disclosure: Drs Levin and Bree are consultants to HealthHelp. Ms Johnson is director of health care data analysis at HealthHelp. Dr Rao is a professor and chair of the Department of Radiology at Thomas Jefferson University, which has a contract with HealthHelp to provide peer-to-peer telephone consultations with ordering physicians.

PII: S1546-1440(09)00462-1

doi:10.1016/j.jacr.2009.09.012

Refers to erratum:

  • Erratum

    Journal of the American College of Radiology March 2010 (Vol. 7, Issue 3, Page 235)

Journal of the American College of Radiology
Volume 7, Issue 1 , Pages 33-38, January 2010