title: The Maryland self-referral law: history and implications.
abstract: Many previous studies have shown that nonradiologist physicians who can refer advanced MRI and CT examinations to themselves or within their practices use these modalities at a much higher rate than those who refer their examinations to unaffiliated radiology facilities. This led Maryland to pass a unique self-referral law in 1993 to directly address self-referred advanced imaging. The authors discuss the politics and economics of self-referral and provide a comprehensive review of the creation, progression, and impact of this landmark law.
authors.affiliation: George Washington School of Medicine and Health Sciences, Washington, District of Columbia. Electronic address: rehan.quadri@gmail.com.
authors.forename: Rehan
authors.initials: R
authors.lastname: Quadri
authors.affiliation: George Washington School of Medicine and Health Sciences, Washington, District of Columbia.
authors.forename: Satinder S
authors.initials: SS
authors.lastname: Rekhi
authors.affiliation: George Washington School of Medicine and Health Sciences, Washington, District of Columbia.
authors.forename: Robert K
authors.initials: RK
authors.lastname: Zeman
authors.affiliation: The Greater Baltimore Medical Center, Baltimore, Maryland.
authors.forename: Albert
authors.initials: A
authors.lastname: Blumberg
authors.affiliation: George Washington University Hospital, Washington, District of Columbia; Progressive Radiology, Falls Church, Virginia.
authors.forename: Raymond K
authors.initials: RK
authors.lastname: Tu
mesh_terms: D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D008396:Maryland; D018584:Physician Self-Referral / Q000941:ethics / Q000331:legislation & jurisprudence*; D011871:Radiology / Q000941:ethics / Q000266:history / Q000331:legislation & jurisprudence*
keywords: Maryland; Self-referral; Stark; US health care; advanced imaging