R. Lewis Dark
Articles by R. Lewis Dark
‘Virchow’ Is Your New Source of Managed Care Insights
From the Volume XXX, No. 11 – July 31, 2023 Issue
WE ARE UNVEILING A VALUABLE INTELLIGENCE RESOURCE FOR YOU. It is a new commentary focused exclusively on managed care contracting for diagnostic services provided by clinical laboratories and anatomic pathology gr…
Stressful Weeks Ahead for Labs Thanks to Z-codes
From the Volume XXX, No. 10 – July 10, 2023 Issue
We are not alone in recognizing that UnitedHealthcare’s…
Expect More Z-code Requirements for Genetic Tests
From the Volume XXX, No. 9 – June 19, 2023 Issue
GENETIC TESTING COMPANIES ARE STILL REACTING TO LAST MONTH’S NEWS that one of the nation’s largest health insurers—UnitedHealthcare (UHC)—will require Z-codes for molecular test claims submitte…
For Labs, a Little Angel and Devil Sit Behind Z-Codes
From the Volume XXX, No. 8 – May 30, 2023 Issue
Much lies underneath the surface of UnitedHealthcare’s (UHC) new policy mandating Z-code use for molecular tests covered under its commercial health plans. It’s a developme…
Healthcare Megatrends and a Famous Book
From the Volume XXX, No. 7 – May 8, 2023 Issue
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…
What’s Next in 2023 for Clinical Laboratories?
From the Volume XXX, No. 6 – April 17, 2023 Issue
AS YOU OPEN THIS ISSUE OF THE DARK REPORT, in New Orleans, about 900 senior lab administrators, executives, and pathologists will be gathered at the 28th annual Executive War College on …
Come One, Come All to the Executive War College
From the Volume XXX, No. 5 – March 27, 2023 Issue
THIS IS FOR ALL OF YOU LONG-TIME READERS WHO EVERY SPRING SEE NEWS about the Executive War College on Diagnostics, Laboratory, and Pathology Management, tell yourself that you need to attend, but then you…
Acquisitions Bloom, at the Expense of Hospital Labs?
From the Volume XXX No. 4 – March 6, 2023 Issue
READERS WILL UNCOVER A THEME OF MERGERS AND CONSOLIDATIONS running throughout this issue of The Dark Report. Whether it be health systems acquiring or merging with each other or national laboratory companies seeking to run hospital lab businesses, it is an unstable time for …
Building Collaborations to Deliver More Value
From the Volume XXX No. 3 – February 13, 2023 Issue
Innovative clinical laboratory leaders closely monitoring the financial health of their labs or hospitals will find plenty to chew on in this issue of The Dark Report. The laboratory team at Atrium Health in Charlotte, N…
Alert! Changes to CLIA Accreditation, CLIA Revisions
From the Volume XXX No. 2 – January 23, 2023 Issue
MEDICAL LABORATORIES HAVE LIVED WITH THE REGULATIONS FOR THE CLINICAL LABORATORY IMPROVEMENTS AMENDMENTS (CLIA) since they were first implemented in 1992. Over the past 30 years there has been no major revision or updating of CLIA regulations. Nor has there been much change in the long-standing statu…
CURRENT ISSUE

Volume XXXII, No. 6 – April 21, 2025
Now that a federal judge has vacated the FDA’s LDT rule, The Dark Report analyzes the judgement and notes the various steps the FDA could take in response. Also, lab testing at pharmacies is proving to be less successful than was once anticipated.
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Topics
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