The maryland self-referral law: History and implications

Rehan Quadri, Satinder S. Rekhi, Robert K. Zeman, Albert Blumberg, Raymond K. Tu

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)771-776
Number of pages6
JournalJournal of the American College of Radiology
Issue number8
StatePublished - Aug 2014
Externally publishedYes


  • advanced imaging
  • Maryland
  • Self-referral
  • Stark
  • US health care

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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