Journal of the American College of Radiology
Volume 6, Issue 2 , Pages 96-99 , February 2009

Recent Shifts in Place of Service for Noninvasive Diagnostic Imaging: Have Hospitals Missed an Opportunity?

  • David C. Levin, MD

      Affiliations

    • Center for Research on Utilization of Imaging Services, Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania
    • HealthHelp, Inc., Houston, Texas
    • Corresponding Author InformationCorresponding author: David C. Levin, MD, Thomas Jefferson University Hospital, Department of Radiology, Main 1090, Philadelphia, PA 19107
    • ,
  • Vijay M. Rao, MD

      Affiliations

    • Center for Research on Utilization of Imaging Services, Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania
    • ,
  • Laurence Parker, PhD

      Affiliations

    • Center for Research on Utilization of Imaging Services, Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania
    • ,
  • Andrea J. Frangos, MS

      Affiliations

    • Center for Research on Utilization of Imaging Services, Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania
    • ,
  • Jonathan H. Sunshine, PhD

      Affiliations

    • American College of Radiology, Reston, Virginia

References 

  1. Iglehart JK. The new era of medical imaging—progress and pitfalls. N Engl J Med. 2006;354:2822–2828
  2. Centers for Medicare and Medicaid Services. Payment for imaging services under the Medicare physician fee schedule, Herb Kuhn, director, CMM: House Subcommittee on Health of the Committee on Energy and Commerce. http://www.cms.gov/apps/media/press/testimony.asp?counter=1903Accessed May 29, 2007
  3. Blue Cross Blue Shield Association. 2004 medical cost reference guide. http://athensbenefits.com/pdf/2004_12_13_blue_cross_blue_shield_medical_cost_reference_guide.pdfAccessed May 29, 2007
  4. Levin DC, Rao VM, Parker L, Frangos AJ, Sunshine JH. Ownership or leasing of MRI facilities by nonradiologist physicians is a rapidly growing trend. J Am Coll Radiol. 2008;5:105–109
  5. Mitchell JM. The prevalence of physician self-referral arrangements after Stark II: Evidence from advanced diagnostic imaging. Health Aff (Millwood). 2007;26:W415–W423Available at: http://content.healthaffairs.org/cgi/content/abstract/hlthaff.26.3.w415. Accessed December 28, 2007.
  6. Boland GWL. Hospital-owned and operated outpatient imaging centers: strategies for success. J Am Coll Radiol. 2008;5:900–906

 This study was supported in part by a grant from the American College of Radiology.

PII: S1546-1440(08)00458-4

doi: 10.1016/j.jacr.2008.09.003

Journal of the American College of Radiology
Volume 6, Issue 2 , Pages 96-99 , February 2009

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