Onsite Medical Imaging Equipment Concerns Researchers
Starting in January 2011, all US doctors who have medical imaging equipment onsite must disclose how much revenue they stand to gain from referring Medicaid and Medicare qualified patients for certain services, such as advanced imaging diagnostics like CT scans and MRI. Doctors must also let patients know about alternative providers of these services. These new parameters are all a part of the new Health Care Reform laws.
According to a report from the Center for Studying Health System Change, 16 percent of all practices with one to two doctors lease or own their lab equipment and 7-9 percent lease diagnostic imaging medical equipment such as x-rays or advanced imaging machines. It is obvious that the policymakers behind recent changes in Medicare are concerned when physicians may have a vested interest in making more referrals than medically necessary. The report also mentions the Stark Act of 1992, which essentially prohibits physicians from referring Medicare patients for testing at their own office’s in-house clinical lab.
While there are numerous restrictions to the Stark law, including the use of clinical lab equipment in the office itself, these restrictions may prevent many physicians from deciding to purchase used diagnostic imaging equipment. As these laws take effect, and physicians start to feel the effects of fewer Medicare reimbursements, they may choose not to offer certain tests in the office.
According to the new Health Care Reform laws, it looks like Medicare will move away from traditional “fee for service” payments to a broader reimbursement model, making it less advantageous for physicians to offer medical equipment diagnostic services. It may be too early to tell how much these new laws will impact the medical community, but they may ultimately make it more difficult for seniors to get the care that they need, all in one facility.