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Comment & Response
May 19, 2015

Government Regulations on Physician Self-referral

Author Affiliations
  • 1Department of Urology, Icahn School of Medicine at Mount Sinai Hospital, Melville, New York
JAMA. 2015;313(19):1977. doi:10.1001/jama.2015.3623

To the Editor In their Viewpoint on physician self-referral, Drs Adashi and Kocher1 failed to note that the independent physician’s office2 is the most cost-effective site of service. Even though the Government Accountability Office (GAO) suggested that 427 000 of 2.15 million imaging studies performed by groups with in-house imaging services would have been eliminated if such groups performed these services at the rates of physicians without equipment ownership,3 it provided no data demonstrating that lower use rates were medically more appropriate.