May 2023

Payers Request More Claims Documentation

CEO SUMMARY: Both anecdotal evidence from lab professionals and numbers-based data from XiFin point to a problem: More payers require clinical labs to produce more documentation that a test claim is valid. Automated denials and inconsistencies in applying denial codes are contributors to this unwelcome trend in how payers process claims. MORE PAYERS ARE REQUIRING …

Payers Request More Claims Documentation Read More »

To access this post, you must purchase The Dark Report.

Kaiser Acquires Geisinger Health in Value-Based Deal

CEO SUMMARY: This blockbuster combination of two respected integrated delivery networks (IDNs) caught the hospital industry by surprise. Post-closing, Kaiser and Geisinger will have combined revenue of $100 billion. Kaiser is creating a new entity called Risant Health. Geisinger will be the first IDN put into Risant Health and Kaiser plans to acquire and add …

Kaiser Acquires Geisinger Health in Value-Based Deal Read More »

To access this post, you must purchase The Dark Report.

Kaiser Acquires Geisinger Health in Blockbuster, Value-Based Deal

TDR Insider / By Robert Michel

The Dark Report examines how the acquisition of Geisinger Health by Kaiser Permanente not only sets the stage for more blockbuster hospital deals, but offers a platform for new value-based reimbursement models. Kaiser is forming a new value-based organization to include Geisinger, which will deliver deliver “value-based quality outcomes and savings in multi-payer, multi-provider environments.” …

Kaiser Acquires Geisinger Health in Blockbuster, Value-Based Deal Read More »

To access this post, you must purchase The Dark Report.

Healthcare Megatrends and a Famous Book

Commentary and Opinion by R. Lewis Dark / By R. Lewis Dark

PREDICTING THE FUTURE IS A RISKY BUSINESS. SKEPTICS ARE ALWAYS AROUND TO CALL ATTENTION TO PROPHETS WHO GET IT WRONG. One prophet whose predictions were on target was author John Naisbitt. Those of us around in the 1980s will remember a book titled, “Megatrends: Ten New Directions Transforming Our Lives.” This was a blockbuster book …

Healthcare Megatrends and a Famous Book Read More »

To access this post, you must purchase The Dark Report.

Kaiser-Geisinger Acquisition Sets Stage for More Deals

Clinical Laboratory Trends, Lab Marketplace / By Robert Michel

CEO SUMMARY: Even as experts were predicting more consolidation among multi-hospital health systems at the Executive War College in New Orleans last month, acquisition of Geisinger Health by Kaiser Permanente was announced. Not only does the deal confirm the consolidation trend involving hospitals, but it also sets the stage for advances in value-based reimbursement models. …

Kaiser-Geisinger Acquisition Sets Stage for More Deals Read More »

To access this post, you must purchase The Dark Report.

Major Events on Horizon to Reshape Lab Market

Clinical Laboratory, Clinical Laboratory Trends, Lab Intelligence, Lab Marketplace / By Robert Michel

CEO SUMMARY: Speakers at last month’s Executive War College discussed a range of significant trends and changes happening today in the U.S. healthcare system. Two of the most important trends are consolidation of multi-hospital health systems and the growing demand for lab test data—particularly when combined with other types of data add value and improve …

Major Events on Horizon to Reshape Lab Market Read More »

To access this post, you must purchase The Dark Report.

AACC Changes Name to ADLM, Seeking to Broaden Appeal

Lab Marketplace, People / By Scott Wallask

HOPING TO BROADEN ITS INFLUENCE IN THE LABORATORY INDUSTRY, the American Association of Clinical Chemistry (AACC) announced that its members approved a name change to the Association for Diagnostics and Laboratory Medicine (ADLM). The official launch of the new name will be at the group’s Annual Scientific Meeting and Clinical Lab Expo in July. The …

AACC Changes Name to ADLM, Seeking to Broaden Appeal Read More »

To access this post, you must purchase The Dark Report.

Lab Execs Allegedly Lied to FDA about Faulty Tests

Clinical Laboratory, Lab Risk & Compliance, Laboratory Compliance, Laboratory Equipment, People / By Scott Wallask

CEO SUMMARY: Three former executives of a lab testing company face criminal charges. Federal prosecutors claim that the three plaintiffs who previously worked at Magellan Diagnostics flagrantly hid information from the Food and Drug Administration about inaccurate lead poisoning test results delivered via its devices. Corrections were later made to the product, sold under the …

Lab Execs Allegedly Lied to FDA about Faulty Tests Read More »

To access this post, you must purchase The Dark Report.

Quest, Labcorp Both Report Growth in Base Lab Business

Clinical Laboratory Trends, IVD/Lab Informatics, Lab Marketplace / By Scott Wallask

DURING THE LATEST QUARTERLY EARNINGS REPORTS from Quest Diagnostics and Labcorp, it was largely “same old, same old” as base business continues to improve post-pandemic, while COVID-19 test demand drops. However, interesting insights about the status of the clinical lab marketplace were shared during the first quarter earnings calls. During the Quest Q1 2023 earnings …

Quest, Labcorp Both Report Growth in Base Lab Business Read More »

To access this post, you must purchase The Dark Report.

May 8, 2023, Intelligence: Late-Breaking Lab News

Late Breaking Lab News / By Scott Wallask

Responding to the need to expand access to training for diagnostic testing professionals, the CDC’s Division of Laboratory Systems has launched OneLab TEST (Timely Education and Support of Testers). OneLab TEST is an online network for those who perform diagnostic medical testing at non-laboratory sites, such as retail pharmacies, physician offices, and schools. The CDC …

May 8, 2023, Intelligence: Late-Breaking Lab News Read More »

To access this post, you must purchase The Dark Report.