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Health Aff (Millwood). 2008 May-Jun;27(3):w165-74. doi: 10.1377/hlthaff.27.3.w165. Epub 2008 Mar 18.

Where do I send thee? Does physician-ownership affect referral patterns to ambulatory surgery centers?

Author information

1
University of Chicago in Washington, DC, USA. Gabel-Jon@NORC.org

Abstract

For more than three decades, Congress has struggled with potential financial conflicts of interest when physicians share in financial gain from nonprofessional services. This study asks the question: Are physicians who are leading referrers to physician-owned ambulatory surgery centers (ASCs) more likely to send Medicaid patients to hospital outpatient clinics than other patients? The comparison group is physicians who are leading referrers to non-physician-owned ASCs, using data from two metropolitan areas. Findings indicate that physicians at physician-owned facilities are more likely than other physicians to refer well-insured patients to their facilities and route Medicaid patients to hospital outpatient clinics.

PMID:
18349040
DOI:
10.1377/hlthaff.27.3.w165
[Indexed for MEDLINE]
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