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The Dark Report

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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Experts Explain Evolving Ransomware Attacks

Clinical Laboratory Trends /

CEO SUMMARY: Security industry reports suggest that ransomware attacks will only increase. Cybersecurity experts who have navigated high-profile ransomware incidents offer details on how modern criminal incursions happen in clinical laboratories, including early warning signs that can tip off organizations that an attack is happening. Picture this: One minute a clinical lab is operating normally,

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Report Identifies Practices of Top RCM Performers

Laboratory Billing /

Revenue cycle management (RCM) can be a headache for all healthcare providers, including clinical laboratories and anatomic pathology practices. However, some organizations handle the challenges better than others. This was the key takeaway from “State of the Healthcare Revenue Cycle,” a report from Kodiak Solutions, which provides software and technology services to healthcare finance professionals.

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Recent OIG Opinion Explores Lab-Urgent Care Arrangement

Laboratory Compliance /

For decades, the US Department of Health and Human Services’ Office of Inspector General (OIG) has analyzed clinical laboratory business arrangements by asking how much compliance risk they pose. With the release of Advisory Opinion 26-02 on February 18, 2026, the watchdog agency offered a rare approval to a structure that has historically invited scrutiny:

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Payers Unleash AI to Dissect Outlier Billing Patterns

Laboratory Billing /

Diagnostic laboratories can follow every clinical guideline, employ the most talented clinical lab professionals, and provide life-saving data to patients, yet still find themselves in the crosshairs of a federal or payer audit. The culprit is rarely a single, overt act of fraud. Instead, it is a sophisticated, data-driven trap known as a utilization outlier—in

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