Joseph Burns

Joseph Burns is the managing editor of The Dark Report and a contributing editor for Dark Daily. An independent journalist in Falmouth, Mass., Burns has covered health care since 1991 and clinical laboratories since 2004. He writes for a variety of publications, including Managed Care magazine (where he is a contributing editor), Hospitals & Health Networks, and Healthcare Finance News. In addition, he is the insurance topic leader for the Association of Health Care Journalists and has worked as a writer and editor for The Commonwealth Fund, the Health Care Incentives Improvement Institute, the National Business Coalition on Health, the National Committee for Quality Assurance, and the National Quality Forum. Burns has edited books on health care business strategies for Faulkner & Gray and Panel Publishers and was editor-in-chief of Business & Health magazine, formerly published by Medical Economics Co., and later was a contributing editor and columnist for Managed Healthcare Executive magazine. He began his career as a journalist in Connecticut, working as a newspaper reporter for The Wallingford Post and the Meriden Record-Journal and as a copy editor, reporter, and regional news editor for The Hartford Courant, the nation’s oldest newspaper. While working for The Courant, he taught news writing at the University of Connecticut.

Articles by Joseph Burns

Pathologists Bio-Med Labs Is Purchased by PathGroup

TWO ANATOMIC PATHOLOGY SUPERGROUPS in two different regions joined forces this month. This happened when PathGroup of Nashville, acquired Pathologists Bio-Medical Laboratories (PBM) of Dallas.

Both groups are similar in that they are very large and do a combination of anatomic, clinical, and molecular testing. PathGroup has 75 physicians and PhDs on its staff and PBM

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TriCore Forges Ahead to Help Payers Manage Population Health

CEO SUMMARY: To develop new sources of revenue to offset declining fee-for-service payments, TriCore Reference Labs is collaborating with health insurers in novel ways to improve patient outcomes and lower healthcare costs. To achieve this, TriCore brings together data from lab tests, EHRs, patient demographics,  and geography. Analytical tools allow it to assess population health

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What Labs Can Expect from PAMA in 2019

CEO SUMMARY: Attendees at the Executive War College learned that CMS has taken steps to expand the number of hospital labs required to report their private payer lab test price data under the Protecting Access to Medicare Act, but the unbundling of certain test panels could be problematic. Problems can occur when labs either did

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Improve Your AP Group’s Financial Performance

CEO SUMMARY: Across the nation, health insurers are paying less for anatomic pathology services. This shrinks pathology group revenue and reduces pathologist compensation. Savvy pathology groups are responding to this trend by reviewing long-standing processes in their coding, billing, and collections department. Their goal is to update these billing and collections processes in ways that

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ACLA: NCCI Guidelines Are a ‘Step Backwards’

CEO SUMMARY: In a letter to the National Correct Coding Initiative, the American Clinical Laboratory Association (ACLA) raised significant concerns about new language in the policy manuals for Medicare and Medicaid. ACLA said the new NCCI guidelines for molecular and other tests requiring multiple steps for one specimen reduce transparency, increase the administrative burden on

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Reacting to PAMA Cuts, Lab Works with Payers

CEO SUMMARY: Before Medicare’s lab test price cuts went into effect last year, Health Network Laboratories began discussions with private health insurers and nursing home clients about the possibility of renegotiating their contracts. In these discussions, HNL promoted the value it delivers to health insurers in terms of fast turnaround times, lab-test utilization management, and

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