Medicare: Physicians who Invest in Imaging Centers Refer More Patients for More Costly Services : Statement of Janet L. Shikles, Director, Health Financing and Policy Issues, Human Resources Division, Before the Subcommittee on Health, Committee on Ways and Means, House of Representatives
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18 specialties 25 percent higher 3,000 Florida physicians CENTERS PROVIDING MRI clinical laboratories compare the referral Cross and Blue diagnostic imaging centers differences in referral EXPENSIVE IMAGING SERVICES extend current restrictions facilities in freestanding financial interest Florida Blue Cross Florida freestanding imaging Florida imaging Florida State University Freestanding diagnostic imaging freestanding imaging centers freestanding nonhospital health care facilities high Medicare payment higher referral rates higher than nonowners imaging facilities refer imaging referrals interest in freestanding magnetic resonance imaging million imaging services MRI owners referred MRI scans twice owners and nonowners owners of clinical OWNERS OF IMAGING patients for imaging patients for MRI percent higher referral physician investment physician referral rates physician self-referral physician-owned joint ventures physicians had invested PROVIDING MRI SERVICES rates of owners recent office visit refer their Medicare referred Medicare patients referred their patients referring physician scans more frequently type of imaging types of physician-owned U.S. General Accounting ultrasound
Page 4 - Florida physicians with a financial interest in freestanding diagnostic imaging centers had higher referral rates for imaging services than other physicians. Moreover, the differences in the referral rates were greatest for costly, hightechnology imaging services. As shown in...