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October 2024

Four Health Systems Launch ‘Longitude Health’

CEO SUMMARY: For the second time in the past 16 months, respected health systems have taken steps to collaborate specifically to advance value-based care. Longitude Health joins Risant Health as the newest attempt to bring together different health systems and foster collaboration and innovation in ways that directly lead to better patient care at lower […]

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State of Whole Genome Sequencing of Newborns

CEO SUMMARY: Genetic medicine continues to support advances in precision medicine (or personalized medicine, if you prefer). This is true in pediatrics, where several statewide pilot programs—each involving tens of thousands of newborns—are publishing studies that demonstrate how exome, whole genome sequencing, and rapid whole genome sequencing can deliver both improved patient outcomes and a

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Once Again, Congress Acts to Defer Medicare Lab Fee Cuts

LAST MONTH, CONGRESS ONCE AGAIN DEFERRED MEDICARE REIMBURSEMENT CUTS OF UP TO 15% for clinical laboratory tests by including this provision in a short-term government funding bill that was passed on Sept. 25. This is a welcome development for the clinical laboratory profession. This next round of price reductions to the Medicare Clinical Laboratory Fee

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Allina Doctors Express Concerns after Quest Acquires Lab Outreach

IN RECENT YEARS, QUEST DIAGNOSTICS AND LABCORP, the two behemoths of the U.S. clinical laboratory market, have been aggressively acquiring lab businesses from health systems across the country. They say that patients and providers will benefit from lower costs and better access to testing services. But clinicians at one major health system in the Midwest

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Federal Cases against Labs Result in Convictions

CEO SUMMARY: Over the past 24 months, federal prosecutors have announced a steady parade of criminal convictions, guilty pleas, and settlement agreements involving fraud and clinical laboratory testing. Not only are these cases numerous, but some resolve legal actions initiated by the federal Department of Justice six to eight years ago—for fraudulent acts by defendants

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Epic Sued for Antitrust Violations by Small, Start-up Company

IT’S BEING CALLED A “DAVID VERSUS GOLIATH” SPAT. Last month, Particle Health of New York City filed an antitrust lawsuit against Epic Systems Corporation of Verona, Wisc. Particle’s lawsuit claims Epic is violating the Sherman Act—a law that defines unfair competition. Becker’s Health IT reported that “Particle alleges that Epic has limited its access to patient

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Physicians Tempted by Lure of In-Office Labs, Payers Balk

EDITOR’S NOTE: Our column, Virchow, is written by anonymous insiders working within the managed care world. The column aims to help clients of The Dark Report better understand the decisions, policies, and actions of payers as they manage their laboratory networks, establish coverage guidelines, process lab test claims, and audit labs. Physician office-based laboratories (POLs)

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October 14, 2024, Intelligence: Late-Breaking Lab News

Babson Diagnostics of Austin, Texas, received a “strategic investment” from Becton, Dickinson and Company (BD). The amount of the investment was not disclosed. In the past year, Babson launched an innovative lab testing service with retail pharmacies in Austin and other Texas communities that includes sites operated by the H-E-B supermarket chain. Babson’s proprietary blood

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Four Independent Health Systems Launch ‘Longitude Health’

For the second time in the past 16 months, respected health systems have taken steps to collaborate specifically to advance value-based care. Longitude Health joins Risant Health as the newest attempt to bring together different health systems and foster collaboration and innovation in ways that directly lead to better patient care at lower cost. If

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Federal Prosecution of Lab Test Fraud & Abuse

SOMETHING NEW AND DIFFERENT IS HAPPENING WITH THE ENFORCEMENT OF FRAUD AND ABUSE LAWS by the federal Department of Justice (DOJ). The number of cases being filed has increased over recent years. In turn, that means an increase in press releases announcing criminal convictions, guilty pleas, and civil settlements. This development has become apparent over

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