Journal of the American College of Radiology
Volume 6, Issue 11 , Pages 773-779 , November 2009

Self-Referral of Imaging and Increased Utilization: Some Practical Perspectives on Tackling the Dilemma

  • Donald H. Romano, Esq

      Affiliations

    • Corresponding Author InformationCorresponding author and reprints: Donald H. Romano, Arent Fox LLP, 1050 Connecticut Avenue, NW, Washington, DC 20036

References 

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  2. US Department of Health and Human Services, Office of Inspector General. Growth in advanced imaging paid under the Medicare Physician Fee Schedule (OEI-01-06-00260). http://oig.hhs.gov/oei/reports/oei-01-06-00260.pdfAccessed August 12, 2009
  3. Angrisano C, Farrell D, Kocher, B, Laboissiere M, Parker S. Accounting for the cost of health care in the United States. Washington, DC: McKinsey Global Institute.
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  5. Baker LC, Atlas SW, Afendulis CC. Expanded use of imaging technology and the challenge of measuring value. Health Aff (Millwood). 2008;27:1467–1478
  6. US Government Accountability Office. Rapid spending growth and shift to physician offices indicate need for CMS to consider additional management practices (GAO-08-452). http://www.gao.gov/new.items/d08452.pdfAccessed August 12, 2009
  7. Berenson A, Abelson R. Weighing the costs of a CT scan's look inside the heart. The New York Times; June 29, 2008;
  8. US Government Accountability Office. Medicare: trends in fees, utilization, and expenditures for imaging services before and after implementation of the Deficit Reduction Act of 2005 (GAO-08-1102R). http://www.gao.gov/new.items/d081102r.pdfAccessed August 12, 2009
  9. Senate Finance Committee. Description of policy options: transforming the health care delivery system: proposals to improve patient care and reduce health care costs. http://finance.senate.gov/sitepages/legislation.htmAccessed June 14, 2009
  10. Smith-Bindman R, Miglioretti DL, Larson EB. Rising use of diagnostic medical imaging in a large integrated health system. Health Aff (Millwood). 2008;27:1491–1502
  11. United States Senate Committee on Finance. Finance Committee questions for the record: hearing on confirmation of GovKathleen Sebelius to be secretary of health and human services, April 2, 2009. http://finance.senate.gov/hearings/testimony/2009test/040209QFRs%20for%20SubmissionKS.pdfAccessed June 24, 2009
  12. 73 Fed Reg 69726, 69793-98 (November 19, 2008).

 This article was adapted from a presentation Mr Romano gave at ACR's Annual Meeting Economics Forum on May 5, 2009.

PII: S1546-1440(09)00346-9

doi: 10.1016/j.jacr.2009.07.002

Journal of the American College of Radiology
Volume 6, Issue 11 , Pages 773-779 , November 2009