April 2007

Will OIG Reconsider Policy on Discriminatory Pricing?

HEIGHTENED COMPETITION in recent months for exclusive managed care contracts between the two blood brothers may trigger the law of unintended consequences. One such consequence could be renewed interest by Medicare regulators in what they call “discriminatory billing.” “In 2003, the federal Office of the Inspector General (OIG) issued a draft statement on discriminatory billing,” …

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Anatomic Pathology’s Coming Revolution: Same Day Diagnoses

Anatomic Pathology / By Robert Michel

CEO SUMMARY: Anatomic pathology has been conducted the same way for 100 years—but no longer at the University of Miami. Pathologists there are using microwave technology to cut processing speed by 90% and improve workflow. By producing faster diagnoses, the lab can report results on 80% of samples the same day that specimens are received. …

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Labs Can Be Misguided by Pull-Through Test Myth

Managed Care Contracts / By Robert Michel

CEO SUMMARY: For the first time in almost eight years, there are major disruptions to the status quo in managed care contracting for laboratory testing services. As was true in the 1990s, national lab companies are pursuing exclusive national contracts with the nation’s largest health insurers. In the 1990s, a similar competitive battle triggered a …

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April 2, 2007 “Intelligence: Late Breaking Lab News”

Late Breaking Lab News / By Robert Michel

In the past four weeks, Genova Diagnostics, Inc. of Asheville, North Carolina, has acquired two laboratories. First was the purchase of Individual Well- being Diagnostic Laboratory, Ltd. (IWDL), located near London, England. The purchase was announced on February 28. IWDL offers tests for “allergy & food intolerance, hormonal balance, digestive analysis, and nutritional assessments.” Just …

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