The Medicare agency believes hospitals can and should do more to change physician behavior. “Hospitals will say, ‘Wait, we don’t order tests, why are you measuring us?’ ” said Dr. Michael Rapp, who directs the Quality Measurement and Health Assessment Group for the federal agency. But, he added, “Hospitals certainly have the ability to put in policies and to monitor what’s happening.”Correct. It's not exactly a significant source of revenue for hospitals, so the culture of throwing-the-entire-arsenal at the problem tends to reign.
And, of course, like many health care problems, reducing the amount of care here actually means better care and better health for the patient, insofar as receiving unnecessary blasts of radiation tends to injure one's health.