Month: April 2016

CMS Update Plans for Medicare Clinical Lab Fee Schedule Could Be in Trouble

This is an excerpt from a 1,400-word article in the April 11 issue of THE DARK REPORT. Full details of the California program¬†are¬†included in the original article, available to paid members. CEO SUMMARY: Evidence from California shows that national lab test price reporting, required for CMS to set rates for the Medicare Clinical Lab Fee …

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Giving Back to the Clinical Lab Profession

MANY OF US ARE CONCERNED about how the next generation of clinical lab and¬†anatomic pathology leaders will be trained and prepared to step up and assume responsibility for the clinical excellence and financial performance of their¬†respective lab organizations. To contribute to the training of promising young lab managers, in the past two¬†years THE DARK REPORT …

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Just 66 of 742 Labs Submit Rate Data to California Department of Health Care Services

CEO SUMMARY: Federal officials tasked with implementing the¬†PAMA lab market price reporting requirement would be well-served to¬†study what happened in California when the Department of Health¬†Care Services mandated market price reporting. According to DHCS,¬†last year, only 9% of the state‚Äôs 742 labs submitted price data! This is¬†evidence that requiring a lab to report every payer‚Äôs …

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Mayo Medical Laboratories Will Close Massachusetts Lab

IN AN ANNOUNCEMENT MADE LAST¬†MONTH, Mayo Medical Laboratories¬†said that it would close the lab facility it¬†operates in Andover, Massachusetts, by¬†the end of the year. As a result of this move, Mayo will¬†eliminate 105 jobs in this leafy suburb¬†north of Boston. For 20 years, MML has¬†operated the lab in Andover, its only facility¬†in New England. News …

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How to Cover Genetic Tests Confounds Health Insurers

CEO SUMMARY: Managed care experts say health insurers are¬†being overwhelmed by the number of new genetic tests and that¬†many labs find it tough to get paid for these tests. UnitedHealthcare¬†just announced it will require pre-authorization of molecular and¬†genetic tests during 2016. Meanwhile, Cigna, which already has¬†pre-authorization in place for certain genetic tests, said it intends¬†to …

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Marshfield Clinic Lab Tackles Phlebotomy Workflow Redesign

CEO SUMMARY: Before a redesign of phlebotomy¬†workflow at Marshfield Clinic, patients might wait as¬†long as an hour, particularly before noon when phlebotomists¬†would see 75% of each day‚Äôs patients. After¬†the redesign, the number of draw sites was reduced¬†from five to two while handling an increase in daily¬†patient volume from 700 to 855. Patient wait times fell …

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Accumen Acquires Chi To Beef Up Lab Consulting

CEO SUMMARY: Two different business models of clinical¬†laboratory consulting have now been brought together. Chi¬†consultants have long focused on analytics and improving outreach¬†performance, among other areas of lab performance. By¬†contrast, Accumen‚Äôs business model is nontraditional and centers¬†upon a shared-savings partnership with a hospital or¬†health system. Executives at Accumen are betting that a combination¬†of both types …

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April 11, 2016 Intelligence: Late Breaking Lab News

Tonya Mallory is back in¬†the news and this time¬†she is teaming up with the¬†former CEO of Bon Secours¬†Virginia to launch a new¬†healthcare company. Mallory¬†was formerly CEO of Health¬†Diagnostic Laboratory of¬†Richmond, Virginia. This is¬†the lab company that settled a¬†major whistleblower case¬†with the federal government,¬†without admitting guilt. In¬†court filings, federal prosecutors¬†claim that HDL was paid¬†$500 million by …

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