Daniel Gottlieb spoke at length to Mississippi Medical News (July 2010) concerning possible action by Medicare regulators to restrict physician referrals of patients to in-office diagnostic imaging. Due to concerns about too many costly in-office referrals, "The imaging industry has had somewhat of a target on its back for awhile now," Mr. Gottlieb said. He noted that several levels of restricting in-office clinical integration are being considered, but added that the issue is not clear-cut. "Skewed clinical decision-making based on the financial interest of the referring physician" is something the government "wants to avoid," Mr. Gottlieb stated, but there also are quality and efficiency benefits to "receiving all the services the patient needs in an integrated care setting." Mr. Gottlieb concluded it is unclear what Medicare will do because "trying to balance the goals of cost reduction with the goals of quality care [is] somewhat of a conundrum."