Congress Moves to Regulate Self-Referral and Physicians' Ownership of Clinical Laboratories
Iglehart, John K.
New England Journal of Medicine. 1990 Jun 7; 322(23): 1682-1687.
A 1989 federal law effective in 1992 prohibits physicians from referring Medicare patients to clinical laboratories which the physicians own or invest in, or with which they have compensation arrangements. The law also directs the Department of Health and Human Services (DHHS) to draw up new reporting requirements for providers of Medicare services regarding patterns of patient referral and ownership of facilities. In this report, Iglehart describes the provisions of the 1989 law and the details of the political maneuvering in the U.S. Congress that led to its enactment. He discusses possible future actions Congress may take to further regulate physician referral to facilities in which they have a financial interest and the role of the inspector general of DHHS in policing self referral. Iglehart concludes his report with a description of organized medicine's reaction to the federal government's latest effort to regulate an aspect of medical care. (KIE abstract)
Compensation; Conflict of Interest; Clinical Laboratories; Economics; Entrepreneurship; Federal Government; Government; Government Regulation; Health; Health Care; Health Care Delivery; Laboratories; Law; Legal Aspects; Medicine; Misconduct; Organizational Policies; Organizations; Ownership; Patients; Physician Self-Referral; Physicians; Politics; Professional Organizations; Regulation; Remuneration; Reporting; State Government;
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