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The Dark Report

Steep Sentence Underscores Scrutiny of Genetic Testing

Laboratory Compliance /

The sentencing tied to a $522 million genetic testing fraud scheme is more than just the latest fraud headline for clinical laboratory professionals. Instead, it serves as another warning that federal scrutiny surrounding genetic testing is continuing and unlikely to ease anytime soon. The US Department of Justice (DOJ) announced prison sentences for two lab […]

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Labs Looking at Cash-Based Options Face Complexity

Clinical Laboratory Trends /

Given all the challenges of dealing with payers, many clinical laboratories find themselves tempted by the idea of offering cash-based business lines such as direct-to-consumer (DTC) testing. The patient pays up front and undergoes the test, and the lab banks the income without the hassles of filing a claim and awaiting reimbursement. But labs should

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Astorg Makes Billion-Dollar Bet on Microbiology Testing

In Vitro Diagnostics /

Thermo Fisher Scientific has agreed to sell its microbiology business to European private equity firm Astorg in a deal valued at $1.075 billion. The transaction, announced in April, includes $1.025 billion in cash and a $50 million seller note. It is expected to close in the second half of 2026, pending regulatory approvals. The divestiture

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Behind the Cat-and-Mouse Game of Lab Reimbursement

Laboratory Billing /

Financial relationships between clinical laboratories and commercial payers have evolved into a high-stakes, technological tug-of-war. For nearly a decade, the clinical laboratory industry has wrestled with the provisions of the Protecting Access to Medicare Act (PAMA). While repeated legislative delays of PAMA-mandated cuts to lab test reimbursement rates have offered independent and hospital laboratories temporary

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May 26, 2026, Intelligence: Late-Breaking Lab News

Late Breaking Lab News /

UnitedHealthcare is expanding rural healthcare initiatives that could provide operational relief for clinical laboratories in underserved communities. The effort focuses on improving cash flow, reducing administrative burdens, and strengthening financial stability for rural hospitals and providers. A key component involves accelerating Medicare Advantage reimbursements for approximately 1,500 rural hospitals and all critical access hospitals nationwide

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Risk of Complacency May Be the Biggest Threat

Commentary and Opinion by R. Lewis Dark /

Prevailing sentiment at the recent Executive War College suggests a long-overdue legislative reprieve is within reach, but experienced clinical laboratory leaders know better than to mistake momentum on Capitol Hill for a signed bill. Our lead story reflects the optimism surrounding the Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act, which boasts

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Expect RESULTS Act Vote by End of the Year

Laboratory Billing /

CEO SUMMARY: Evidence at the 2026 Executive War College suggests a coming push in clinical lab advocacy, focusing on the RESULTS Act to establish a permanent, database-driven reimbursement model. Simultaneously, federal regulators have floated the idea of heightened scrutiny of genetic test spending, signaling that while lab test reimbursement rates may stabilize, compliance oversight could

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Three Signals to Take from Executive War College

Commentary and Opinion by R. Lewis Dark /

We’ve arrived back from New Orleans and the 31st Annual Executive War College on Diagnostics, Clinical Laboratory, and Pathology Management. To steal a line from home-town legend Louis Armstrong, “what a wonderful” gathering it was. During the two days of conversation and networking at the event, we noted three shifts in the medical laboratory industry

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Positioning the Lab as a Strategic Powerhouse

Clinical Laboratory /

CEO SUMMARY: The 31st Annual Executive War College in New Orleans showcased speakers who have re-imagined the diagnostic laboratory’s role from back-office utility to a primary driver of system-wide strategy and clinical excellence. A consistent theme came up during dozens of sessions at the conference: Clinical laboratories that lead integration efforts will define their own

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Direct-to-Consumer Clinical Laboratory Testing is Booming

Clinical Laboratory Trends /

As part of the ongoing and expanding healthcare direct-to-consumer (DTC) wellness trend, DTC laboratory testing is on the rise. It is driven by increasing at-home care, effective and affordable telehealth approaches, and significantly more convenient sampling and clinical laboratory technologies. At-home COVID-19 testing during and after the pandemic also stimulated its growth. A report by

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