On June 2, 2014, the Government Accountability Office (GAO) released its fourth and final report on the national state of physician self-referrals.1 Commissioned in 2010 by a bipartisan and bicameral congressional contingent, the GAO reports represent the latest audit of physicians who refer their patients to service facilities wherein they (or an immediate family member) have a financial interest.1 Limited to self-referred services in the advanced imaging, anatomic pathology, radiation therapy, and physical therapy arenas, the GAO reports examined recent (2004-2010) growth rates in service utilization and the effect on Medicare Part B spending.1 In this Viewpoint, we discuss the findings of the GAO, revisit the premise of physician self-referral, survey the relevant statutory and regulatory framework, and explore potential solutions to this vexing and costly challenge.
Adashi EY, Kocher RP. Physician Self-referralRegulation by Exceptions. JAMA. 2015;313(5):457–458. doi:10.1001/jama.2014.16600