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Commentary and Opinion by R. Lewis Dark

Employers, Payers Are Challenging ‘High’ Test Prices

Commentary and Opinion by R. Lewis Dark /

ONE NATIONAL TREND IN CLINICAL LABORATORY TESTING that has not yet gotten wide play outside the pages of THE DARK REPORT is the emergence of what might be termed a “war” by national and regional health insurers against the “higher” prices often charged by hospital laboratories. This is a key strategic shift in the managed […]

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Hospital and Health System Labs Brace for Change

Commentary and Opinion by R. Lewis Dark /

BY THE TIME MOST OF YOU ARE READING THIS, it is likely that the Supreme Court ruling on the challenge to the Accountable Care Act (ACA) will be public knowledge. It was this week of June 25-June 29 that the ruling was expected to be announced. Obviously, there are three potential rulings: 1) to allow

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Healthcare Reform Puts Local Labs at Risk

Commentary and Opinion by R. Lewis Dark /

THESE ARE DANGEROUS TIMES for local clinical labs and community hospital-based pathology groups. Although several elements of healthcare reform and emerging models of integrated clinical care favor local labs, there are equally powerful trends at play with the potential to concentrate ever more market share and economic power into the hands of a dwindling number

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CLIA’s Catch-22 Involving Proficiency Testing

Commentary and Opinion by R. Lewis Dark /

THERE’S A REGULATORY TRAP awaiting the unwary laboratory organization. It involves language in CLIA rules for proficiency testing (PT). All medical directors and lab administrators will want to fully understand the implications of what appears to be an emerging trend in CLIA laboratory enforcement. In recent years, an ever-greater number of labs have unwittingly found

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Lab Strategies for Population Health Management

Commentary and Opinion by R. Lewis Dark /

EXTRAORDINARY THINGS ARE HAPPENING WITHIN THE HEALTH SYSTEM of this country. Powerful forces of change and transformation are at work in ways that have yet to be fully understood. The only certainty about the healthcare system we know today is that it will look very different in the next five years. For those of you

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Securing your Lab’s Success as Healthcare Reforms

Commentary and Opinion by R. Lewis Dark /

IT IS PROBABLY SAFE TO ASSUME THAT MOST OF YOU RECOGNIZE that the American healthcare system is about to undergo its most extensive transformation of the past 50 years. For better or for worse, we are about to see the end of medicine dominated by fee-for-service reimbursement and a fragmented delivery system. What is predicted

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Hospital’s Closing Is a Lab Industry Opportunity

Commentary and Opinion by R. Lewis Dark /

NEWS OF THE ORDER by the New York State Department of Health (DOH) to close Peninsula Hospital Center in Rockaway for at least 30 days because of deficiencies in the hospital laboratory is slowly filtering throughout the clinical laboratory industry. (See article here.) It was on February 23, 2012, when DOH issued an order for

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Another Whistleblower Lawsuit: Why Care?

Commentary and Opinion by R. Lewis Dark /

IN READING THIS ISSUE, YOU MAY LEARN, FOR THE FIRST TIME, how a former CEO of a public lab has filed two whistleblower lawsuits. His most recent qui tam lawsuit names Laboratory Corporation of America as defendant. The earlier qui tam lawsuit was filed against Quest Diagnostics Incorporated. (See pages 3-8.) To my recollection, this

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Pick Your Medicine: Personalized or Precision?

Commentary and Opinion by R. Lewis Dark /

DURING THE PERSONALIZED MEDICINE WORLD CONFERENCE (PMWC) that took place in Silicon Valley last week, there was much excitement about the earliest clinical services that meet the definition of personalized medicine. It won’t surprise pathologists and lab administrators to learn that companion diagnostics is considered a frontline example of personalized medicine. Our Editor-In-Chief, Robert L.

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Integration of Clinical Care and the Lab Industry

Commentary and Opinion by R. Lewis Dark /

DURING 2012, THE HEALTHCARE SYSTEM IN THE UNITED STATES will make measurable progress toward the goal of integrated clinical care. In my view, this will be a positive development for clinical laboratories, since it creates opportunities for labs to step up and add value to physicians, patients, and payers. There is a bubbling stew of

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