When a physician who isn't a radiologist holds an ownership interest in an advanced imaging machine and refers patients for diagnostic procedures on that machine, this act of self-referral presents a conflict of interest. Numerous studies demonstrate greater use of high-tech imaging when physicians can financially benefit from such referrals. This overview summarizes the issues surrounding imaging self-referral and reviews the history of attempts to control it, as well as options for limiting its impact on spending. Recent payment reductions by Medicare limited the rewards for imaging self-referral, and the Affordable Care Act mandated disclosure of physicians' ownership interests. However, the rewards for imaging self-referral remain strong. Policy makers continue to search for the right mechanisms for containing the practice and for assuring that Medicare beneficiaries receive only medically necessary imaging studies, regardless of who owns or operates the equipment.
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机译：当不是放射线医师的医师拥有一台先进成像设备的所有权权益，并转介患者在该机器上进行诊断程序时，这种自我推荐的行为就会引起利益冲突。许多研究表明，当医师可以从此类转诊中获得经济利益时，可以更多地使用高科技成像。本概述概述了影像自我推荐的问题，并回顾了对其进行控制的尝试的历史以及限制其对支出的影响的选项。 Medicare最近减少的付款限制了对影像进行自我推荐的奖励，而《 Affordable Care Act》则要求披露医师的所有权。但是，对自我推荐进行成像的奖励仍然很高。决策者继续寻找正确的机制来遏制这种做法，并确保医疗保险受益人仅接收医学上必要的影像学检查，无论谁拥有或操作该设备。
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