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Invited Commentary | Health Care Reform

Medicare Fee Cuts and Hospital- vs Office-Based Cardiovascular Imaging Services

Ralph G. Brindis, MD, MPH1; M. Eugene Sherman, MD2
[+] Author Affiliations
1Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco
2American College of Cardiology, Aurora, Colorado
JAMA Intern Med. 2015;175(7):1231-1232. doi:10.1001/jamainternmed.2015.2021.
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With the need and desire for Congress and the Centers for Medicare & Medicaid Services (CMS) to reduce the nation’s unsustainable financial burden of Medicare, substantial reduction in payments of many imaging tests and procedures has been implemented for in-office provision of these services. Imaging was chosen because of the exponential increase in volume of imaging services in the past decade without any data suggesting better outcomes or increased need for such services. Song and colleagues1 show that imaging services have shifted to the higher-paying hospital setting from office-based imaging.

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