Impact of curtailing payment for imaging in referring doctor's facility

Diagnostic imaging examinations represented 5 percent of the $800 billion health care costs expended in 1992. One of the most controversial aspects of diagnostic imaging has been physician self-referral (i.e., physicians referring patients for imaging procedures in their own offices or free-standing centers in which they have a financial interest). United Mine Workers of America (UMWA) developed a policy intended to reduce payments for self-referred diagnostic imaging and the incentives for higher utilization. The grantee, in cooperation with the New England Medical Center and University of Virginia, will: (1) study changes in cost and utilization patterns before and after the policy change; and (2) evaluate the effects on patients' satisfaction and health outcomes. UMWA is matching Foundation support. This is a unique opportunity to study an important natural experiment and the results will undoubtedly be of intense national interest.

Grant Details

Amount Awarded $200,000.00

Awarded on: 5/27/1994

Time frame: 6/1/1994 - 6/30/1996

Grant Number: 22799

Grantee

United Mine Workers of America Combined Benefit Fund

4455 Connecticut Avenue, N.W.
Washington, 20008-2302

Ralph Horn
Project Director

202-895-3891