R. Lewis Dark

Articles by R. Lewis Dark

Lab at the Epicenter of NY’s Coronavirus Pandemic

From the Volume XXVII No. 5 – March 30, 2020 Issue

TODAY, THE NOVEL CORONAVIRUS PANDEMIC DOMINATES the daily activities of every clinical laboratory in the United States. The emergence of COVID-19 has triggered unprecedented actions by governments in different nations throughout the world. Within this country, all 50 states reported SARS-CoV-2 i…

Be Careful Payers, You May Get What You Wish For!

From the Volume XXVII No. 4 – March 9, 2020 Issue

Few clinical laboratory executives and pathologists would disagree with the assertion that both government and private payers would like to see the prices they pay for medical laboratory testing and the amount of money they spend reimbursing labs to stay flat or shrink from one year to the next. C…

Northwell and Memorial Health: A Tale of Two Labs

From the Volume XXVII No. 3 – February 17, 2020 Issue

Something very unusual happened in this issue of The Dark Report. We analyzed the entirely opposite fates of two clinical laboratories owned by different healthcare systems. With apologies to author Charles Dickens and his opening sentence in his novel, a Tale of Two Cities, it c…

Any Hope for Relief from PAMA Medicare Price Cuts?

From the Volume XXVII No. 2 – January 27, 2020 Issue

It is a notable and rare success for the clinical laboratory profession to convince the House and Senate to pass a law that is favorable to the interests of patients and the clinical laboratories that serve them. Yet that is what happened when Congress passed the Laboratory Access for Beneficiarie…

Is Health Price Transparency at Its Tipping Point?

From the Volume XXVI No. 17 – December 16, 2019 Issue

Is it a coincidence that a number of uninsured consumers filed separate lawsuits in federal courts against Laboratory Corporation of America and Quest Diagnostics—alleging, in both cases, that they were overcharged for clinical…

Labs Face New Challenges in New Year, New Decade

From the Volume XXVII No. 1 – January 6, 2020 Issue

TYPICALLY, PEOPLE CELEBRATE THE ARRIVAL OF A NEW YEAR and a new decade with optimism. That should be just as true for clinical lab managers and pathologists. After all, medical laboratory testing is fundamental to how physicians diagnose disease, select the most appropriate therapies, and monitor the…

Prediction of ICD-10 as Negative for Labs Comes True

From the Volume XXVI No. 16 – November 25, 2019 Issue

IMPLEMENTATION OF ICD-10 DIAGNOSIS CODES in the United States happened on Oct. 1, 2015. At that time, a national laboratory association predicted that use of ICD-10 codes would cause Medicare Administrative Contractors (MACs) to pay labs less often and with lower reimbursement. The Dark Report ag…

Health Insurers Spending Billions to Diversify

From the Volume XXVI No. 15 – November 4, 2019 Issue

CEO SUMMARY: One big development affecting the health insurance business is how four of the nation’s largest health insurers are diversifying in significant ways. Last spring, a healthcare strategist explained how each of these companies has spent billions of dollars in recent years to …

Is New Medicare Affiliation Rule Good, Bad, or Ugly?

From the Volume XXVI No. 15 – November 4, 2019 Issue

THERE IS AN OFT-REPEATED ADAGE THAT what the government gives you with one hand, it takes away with the other. This may be an apt description of the new Medicare final rule that takes effect today, called the Program Integrity Enhancements to the Provider Enrollment Process (CMS-6058-FC). The goal o…

Are Feds Now More Serious about Prosecuting Fraud?

From the Volume XXVI No. 14 – October 14, 2019 Issue

IS IT A COINCIDENCE THAT, IN THIS ISSUE OF THE DARK REPORT, we cover two related developments, both involving the federal government’s efforts to control healthcare fraud and abuse? First, you’ll read about the new federal rule scheduled to take effect on Nov. 4. It gives federal healthcare inve…

Volume XXVII No. 5 – March 30, 2020

AS THE CORONAVIRUS PANDEMIC roars through the United States, THE DARK REPORT delivers an unprecedented look from the front lines of the medical battlefield. The lab at the “epicenter of the epicenter” of the American epidemic shares its strategies and lessons learned exclusively with TDR, and the editorial team interviewed several leading pathologists who are battling the disease around the world.

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