#JACR Transcript
Healthcare social media transcript of the #JACR hashtag.
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See #JACR Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | PF Anderson @pfanderson@disabled.social @pfanderson RT @radiologydraws: A little behind the scenes shot before we go live for the #JACR tweet chat https://t.co/ztCloSUHtU |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @JACRJournal: We Kick of the #JACR tweet chat today with a live point counter-point discussion with Zeke Silva, MD and Alan Kaye, MD. Br… |
 | JACR @JACRJournal Welcome to the #JACR Tweet Chat on Payer steerage of imaging care . Today is a little different we start off with a live point counter point on youtube. Watch the live discussion here: https://t.co/4zqAyGy0M4 https://t.co/yA4niHNdRT |
| JACR @JACRJournal And we’re live! https://t.co/3WnXdHnS6G the point counter point has begun #jacr |
| JACR @JACRJournal Jump over to YouTube to hear both points https://t.co/3WnXdHnS6G #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @JACRJournal: Jump over to YouTube to hear both points https://t.co/3WnXdHnS6G #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @JACRJournal: And we’re live! https://t.co/3WnXdHnS6G the point counter point has begun #jacr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @JACRJournal: Welcome to the #JACR Tweet Chat on Payer steerage of imaging care . Today is a little different we start off with a live p… |
| JACR @JACRJournal @pfanderson Dr Silva is presenting his point right now, Dr Kaye will be back to retort shortly #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson Puzzled by today's #jacr chat. What is appropriate way to engage? Audio problems with the live feed for one of the speakers. Are there supporting materials? Definition of terms? Scope of questions? |
 | Jenny Jones @Jenny_Writer RT @JACRJournal: Jump over to YouTube to hear both points https://t.co/3WnXdHnS6G #JACR |
 | AuntMinnie.com @AuntMinnie RT @JACRJournal: And we’re live! https://t.co/3WnXdHnS6G the point counter point has begun #jacr |
| PF Anderson @pfanderson@disabled.social @pfanderson @JACRJournal Thanks. There was NO audio for Dr. Kaye at the beginning. Need a mic test, audience audio test. #jacr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @JACRJournal: When describing the number of lesions, make sure everyone agrees what "few," "several," and "multiple" actually mean #JACR… |
 | Nicole Racadag @NRacadag RT @radiologydraws: A little behind the scenes shot before we go live for the #JACR tweet chat https://t.co/ztCloSUHtU |
| JACR @JACRJournal Let's get started with the #JACR Tweet Chat T1: Put yourself in the role of a patient. What are your reactions to steerage and why? Does that change if you receive an incentive to use a certain provider? #JACR https://t.co/Lb4bUbXFtn |
| JACR @JACRJournal The Live Broadcast is over we now turn to our regular tweet chat format. Which Point did you agree with? #JACR |
 | Seth M Hardy, MD MBA @sethmhardy Patients are generally not well informed in regards to quality. Cost in the denominator is about their only value metric. #JACR |
| JACR @JACRJournal Who's Joining us today for the #JACR tweet chat? introduce yourselves |
| JACR @JACRJournal RT @sethmhardy: Patients are generally not well informed in regards to quality. Cost in the denominator is about their only value metric. #… |
| Seth M Hardy, MD MBA @sethmhardy Neither, but the both did well and I appreciate their efforts. #JACR |
 | Zeke Silva @zekesilva3 @sethmhardy #JACR: T1: The quality piece is huge - any steerage policy has to consider the quality of the center to which patients are referred |
| Seth M Hardy, MD MBA @sethmhardy From central PA. #JACR |
| Seth M Hardy, MD MBA @sethmhardy I don’t disagree but how? It is extremely difficult to measure, especially when we do accredit crappy old magnets. #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @JACRJournal: Let's get started with the #JACR Tweet Chat T1: Put yourself in the role of a patient. What are your reactions to steerag… |
| Zeke Silva @zekesilva3 @sethmhardy #JACR T1: It is a fair point: patients rightfully assume the place they are sent is quality. If that proves to not be the case, by whatever metric, then the system has not done its job |
| PF Anderson @pfanderson@disabled.social @pfanderson @JACRJournal "When payors try to directly influence the patient’s or treating physician’s choice of imaging provider, this strategy is typically referred to as “steerage.”" https://t.co/tzrks1xcdS #jacr |
| JACR @JACRJournal T2: Put yourself in the role of a referring physician. What are your reactions to steerage and why? Does that change if you are incentivized to use affiliated imaging provider? #JACR https://t.co/Ztd1otHfxu |
| PF Anderson @pfanderson@disabled.social @pfanderson Patient Steerage Could Harm Radiologists, Confuse Patients https://t.co/qC0Oz1N6Ki #jacr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @zekesilva3: @sethmhardy #JACR T1: It is a fair point: patients rightfully assume the place they are sent is quality. If that proves to… |
| Seth M Hardy, MD MBA @sethmhardy I’ll share in the Lancaster market the hospital has kept a beautiful new short bore 1.5T OPT magnet idle bc they didn’t want to cannibalize their legacy grandfathered low field magnet. Unacceptable!!! #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson J Am Coll Radiol. 2005 Oct;2(10):846-9; discussion 850-1. Negotiating in a managed care world. https://t.co/zyiyNjqSNA #steerage #jacr |
| Zeke Silva @zekesilva3 #JACR T2: Indeed - patients should be informed of the consequences of steerage, so an educated, team-based, decision can be made. I hear often that referring physicians feel their credibility is undermined by a pre-auth program |
| Seth M Hardy, MD MBA @sethmhardy Referrers are not going to jeopardize their employment over this issue. #JACR |
 | Brett Hansen @RadiologyAlly As a #patient, or #physician What do you think of incentives used by payers to steer patients to see a specific doctor? To be inpatients, vs. outpatients? #jacr #steerage |
| JACR @JACRJournal We're midway through our discussion questions on "Payer Steerage of Imaging Care" What #thursdayThoughts do you have to add? join the conversation with #JACR tweet chat. |
| JACR @JACRJournal RT @zekesilva3: #JACR T2: Indeed - patients should be informed of the consequences of steerage, so an educated, team-based, decision can be… |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @zekesilva3: #JACR T2: Indeed - patients should be informed of the consequences of steerage, so an educated, team-based, decision can be… |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @sethmhardy: Referrers are not going to jeopardize their employment over this issue. #JACR https://t.co/mufKU7hI1v |
| Seth M Hardy, MD MBA @sethmhardy Pre auth is really a separate issue. That is more about appropriateness? What we are talking about today is all about money. Pure and simple. #JACR |
 | 4ak @4ak17 @JACRJournal #jacr Ref docs tell me they are conflicted when they have to send patients to high priced facilities when they know of quality, lower priced alternatives. A few anecdotal instances in my community tha5 they have lost patients because they did so. |
| JACR @JACRJournal RT @4ak17: @JACRJournal #jacr Ref docs tell me they are conflicted when they have to send patients to high priced facilities when they know… |
| Seth M Hardy, MD MBA @sethmhardy #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @4ak17: @JACRJournal #jacr Ref docs tell me they are conflicted when they have to send patients to high priced facilities when they know… |
| Zeke Silva @zekesilva3 #JACR T2: Another great point. But, if a referring doc wants his/her patient to go to a radiologist they trust, and a third party over-rides that, the referring doc may feel slighted |
| JACR @JACRJournal #JACR |
| Brett Hansen @RadiologyAlly #ThursdayThoughts: As a #patient, or #physician What do you think of incentives used by payers to steer patients to see a specific doctor? To be inpatients, vs. outpatients? To see someone who's cheaper but not necessarily better? #jacr #steerage #jacr https://t.co/XdDVaug9P2 |
| JACR @JACRJournal T3: Put yourself in the role of a practicing radiologist. How do you justify a position for or against steerage? #JACR https://t.co/PeCxM9mueW |
| Seth M Hardy, MD MBA @sethmhardy Then perhaps that trusted rad needs to look at their pricing structure. Cost is one of 4 operational pillars. Timeliness, quality, flexibility being the others. #JACR |
| 4ak @4ak17 @zekesilva3 #JACR Docs also do not like being told where to send patients or having them blocked by doing so by their EMR. |
| Zeke Silva @zekesilva3 #JACR And cost is one of the performance categories under MACRA, so all of our responsibility to understand it better. And assume responsibility for it |
| Seth M Hardy, MD MBA @sethmhardy I’m agnostic. The price differentials driving these decisions will eventually equalize. We need to make sure that we don’t alienate anyone in the meantime. #JACR |
| 4ak @4ak17 #JACR how do u feel about making patient bear a higher copay if they want to go to a high priced facility? |
| Seth M Hardy, MD MBA @sethmhardy RT @zekesilva3: #JACR And cost is one of the performance categories under MACRA, so all of our responsibility to understand it better. And… |
 | Rich Heller @reh3md T3: An argument against economic steerage: Different sites provide different levels of service (ie sub-sub-specialty coverage, like pediatric neuroradiology). #jacr |
| Rich Heller @reh3md RT @zekesilva3: #JACR T2: Another great point. But, if a referring doc wants his/her patient to go to a radiologist they trust, and a third… |
| Zeke Silva @zekesilva3 So everyone knows: 4ak is Dr. Kaye #pastACRpresident #JACR |
| Seth M Hardy, MD MBA @sethmhardy @4ak17 It sucks, but it is reality today. Copays were made to change behavior and there are trade offs. #JACR |
| Zeke Silva @zekesilva3 #JACR Such an important point: communities are different - local matters. National policies, by definition, can not account for those differences |
| JACR @JACRJournal RT @zekesilva3: So everyone knows: 4ak is Dr. Kaye #pastACRpresident #JACR https://t.co/NRm6cVgGUh |
| JACR @JACRJournal RT @reh3md: T3: An argument against economic steerage: Different sites provide different levels of service (ie sub-sub-specialty coverage,… |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @sethmhardy: Pre auth is really a separate issue. That is more about appropriateness? What we are talking about today is all about money… |
| JACR @JACRJournal RT @zekesilva3: #JACR Such an important point: communities are different - local matters. National policies, by definition, can not account… |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @reh3md: T3: An argument against economic steerage: Different sites provide different levels of service (ie sub-sub-specialty coverage,… |
| Seth M Hardy, MD MBA @sethmhardy Agree, and those organizations need to differentiate themselves strategically. If I have a really sick kid, I’m not taking them to a podunk hospital. 🤞🏼 #JACR |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @zekesilva3: So everyone knows: 4ak is Dr. Kaye #pastACRpresident #JACR https://t.co/NRm6cVgGUh |
| 4ak @4ak17 @sethmhardy #jacr Let me clarify. Rather than not covering high cost centers, let patient know that they will have higher copays to go to higher cos centers. |
| JACR @JACRJournal RT @4ak17: @sethmhardy #jacr Let me clarify. Rather than not covering high cost centers, let patient know that they will have higher copa… |
| Brett Hansen @RadiologyAlly As a #patient, I'm already ingrained to be steered. "Will they take my insurance?" is my #1 question. My #2 question is asking friends/coworkers if they've had a good/bad experience. Cost of the provider doesn't even enter the equation if I'm paying the same copay #jacr |
| JACR @JACRJournal T4: Are different payments to different sites of service appropriate? For example, is it appropriate to pay hospitals more? If so, how much of a premium is acceptable? #JACR https://t.co/rJaF7oI99T |
| Seth M Hardy, MD MBA @sethmhardy @4ak17 Sure, some will recognize that value and be willing to pay for it. Recognizing that this would worsen social determinants of health. #JACR |
| Zeke Silva @zekesilva3 #JACR T4: Well, the hospitals would likely argue that they incur more expense in providing their services |
| Seth M Hardy, MD MBA @sethmhardy I think it is a moot question. Our B2B customers, the payers, are going to send the walking wounded to lower cost centers. They don’t care about another’s overhead, only their own. This isn’t socialism. #JACR |
| Rich Heller @reh3md T4: If you believe that all radiology sites are equal, then site neutral payments make more sense. But that’s just not reality. #jacr |
| 4ak @4ak17 #JACR That assumes there is a different outcome. Also, a $3000 MRI would change the economic health of many people: stress, unhealthy food vs Mediterranean diet..... |
| JACR @JACRJournal Thanks for joining the #JACR tweet chat today, any final thoughts? |
 | Sandeep Arora @LetDdiceFlyHigh RT @reh3md: T4: If you believe that all radiology sites are equal, then site neutral payments make more sense. But that’s just not reality.… |
| Seth M Hardy, MD MBA @sethmhardy In fact we have #JACR proof they do. However look at it strategically from @AnthemInc side, they are trying to survive by keeping costs down and pass that on to their customers. No more, no less. |
| Zeke Silva @zekesilva3 #JACR To be fair, the payors have crafted many exceptions to the steerage policy we are discussing, such as pedi, OB patient, chronic condition...oh, and milage |
 | Valerie Hawkins @librariesval RT @zekesilva3: So everyone knows: 4ak is Dr. Kaye #pastACRpresident #JACR https://t.co/NRm6cVgGUh |
| 4ak @4ak17 @sethmhardy #JACR Right on. It is only a matter of time. But I see that hospitals are holding on to their high fees, while at the same chanting the value-based care mantra. |
| Rich Heller @reh3md @sethmhardy Then the customers (insurance subscribers) can vote with their feet by patronage of products that support their needs. A big deal in the peds world. #jacr #InNetworkChildrensHospital |
| Seth M Hardy, MD MBA @sethmhardy No it isn’t reality, but costs are the easiest process metric to measure. #JACR |
| Zeke Silva @zekesilva3 #JACR Great perspectives today on the complicated topic of steerage with no easy answers. Collaboration is key |
| Seth M Hardy, MD MBA @sethmhardy @reh3md Yes, and we see that in some markets like Pittsburgh. #JACR |
| JACR @JACRJournal RT @zekesilva3: #JACR Great perspectives today on the complicated topic of steerage with no easy answers. Collaboration is key |
| Seth M Hardy, MD MBA @sethmhardy The most important goal we should be striving for is to keep the membership together while serving the ACR mission and our patients. #JACR |
| Seth M Hardy, MD MBA @sethmhardy RT @zekesilva3: #JACR Great perspectives today on the complicated topic of steerage with no easy answers. Collaboration is key |
| Rich Heller @reh3md The great thing about tweet chats like this is that w/ scholars like @zekesilva3 @RadiologyBoy1 @sethmhardy& others, I learn so much. And fun to interact. Great job! @JACRJournal #jacr |
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