July 2013

Report Shows Price Drop for Most Molecular Tests

CEO SUMMARY: In recent weeks, labs are reporting that Medicare contractors have begun to issue payments for molecular test claims filed—but unpaid—since January 1, 2013. A newly-issued analysis of this situation by Quorum Consulting indicates that, for many molecular assays, Medicare contractors are now paying less than they paid for the same tests last year. […]

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Medicare Contractor’s Ruling on MolDx Test Causes Lab to Close

Laboratory Billing / Joseph Burns

CEO SUMMARY: On May 14, Predictive Biosciences learned that its Medicare contractor had determined that one of its three molecular tests for bladder cancer was a screening test. It also never got a determination on its other two molecular tests. Because Medicare is half of the lab’s payer mix, and since the company was worried

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Aetna Threatens to Expel Docs for Out-of-Network Lab Referrals

Managed Care Contracts / Robert Michel

MANAGED CARE PLANS are taking aggressive steps to keep clinical lab testing within their preferred networks. In particular, Aetna, Inc., is earning a reputation as one of the toughest insurers in this regard. Most recently, in a letter sent to at least one network physician, Aetna warned the physician that, if the doctor continued to

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PathCentral Launches Sale of New Anatomic Pathology LIS

Laboratory Information Systems / Joseph Burns

THERE IS A NEW PLAYER in the market for anatomic pathology laboratory information systems (APLIS). This gives pathology groups a new option when it is time to upgrade or replace their existing APLIS. It also brings a new competitor into the existing market for anatomic pathology (AP) software. In recent years, the dominant players in

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July 08, 2013 “Intelligence: Late Breaking Lab News”

Late Breaking Lab News / Robert Michel

In China, independent clinical laboratories are in a fast-growth mode. That’s the conclusion of RnRMarketResearch in a newly-issued survey of the clinical laboratory testing market in China. It estimates this market segment at US$407 million annually. RnR says that three lab companies meet the definition of “large-scale chain-store clinical laboratories.” They are KingMed Diagnostics, Adicon Clinical

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