FAQs / Do ophthalmologists give any fees to optometrists for patient referrals?

April 30, 2018

QUESTION:

Hi Dr. Richardson, I found you article on the need (or lack of need) for a laser in cataract surgery refreshingly honest. I also wonder, do ophthalmologists give any fees to optometrists for patient referrals? I keep wondering why my optometrist used to recommend Dr. A and now recommends Dr. B for cataract surgery.

via Email

ANSWER:

Yes. Unfortunately this practice is all too common. Personally, I find the idea of paying optometrists (or anyone, really) to refer patients to me both distasteful and unethical which is why I do not do this. It may also be illegal (as is payola) but the government is not enforcing it. It can be such a good source of revenue that some optometry groups refuse to refer patients unless a kickback is provided by the surgeon. I even know of one group in my area that refers patients across Los Angeles (a 40-60 minute drive) because the surgeon on the “westside” gives the best “co-management” fee. Disgusting.

I’m sure I would be financially much better off if I played this game, but to do so would rot the very foundation of why I chose to go into medicine in the first place.

Warm regards,
David Richardson, MD
Patient-Focused Ophthalmologist

San Marino Eye
2020 Huntington Drive
San Marino, CA 91108
626.289.7856

Patient-Focused Websites:
New-Glaucoma-Treatments.com
About-Eyes.com

Posted in: Other Concerns