Issue: Volume X No. 14 - October 20, 2003

Chipping Away at Laboratory Reimbursement

PROPOSED NEW MEDICARE RULES by the Office of the Investigator General (OIG) dealing with “discriminatory billing practices” and “usual charges” should be seen as part of a larger trend. The government doesn’t have the money to pay for Medicare and Medicaid. Thus, it is exploring indirect ways to reduce the amount of money it pays …

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OIG Moves to Address “Usual Charge” Issue

CEO SUMMARY: Federal regulators are taking another crack at defining “usual charges.” Language in the proposed rules published last month precisely defines which payers should be included in determining “usual charges” and what charge basis to use for specific payers. Once effective, the new rules will have financial impact on many laboratories, particularly those known …

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No Disruptive Technology In Lab Industry’s Future

CEO SUMMARY: As new diagnostic technologies move through the development pipeline and into widespread clinical use, the scientific knowledge and skill sets needed by laboratory staff and management will change. The emphasis in laboratory medicine will evolve to include more molecular technology, but this evolution will proceed incrementally, giving all laboratories time to adapt. RAPID …

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Looking at Fast-Growth And Slow-Growth Areas In Diagnostic Testing

CEO SUMMARY: This exclusive intelligence briefing predicts how specific new technologies may drive changes in the laboratory-testing marketplace during the next five years. The key message is that change is expected to be incremental, not disruptive—given the technology known to be in development at this time. But the more provocative insight relates to how even …

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Two Blood Brothers Ramp Up Marketing of New Lab Assays

GROWTH IN SPECIMEN VOLUME and revenues is the major challenge at the nation’s two largest laboratory corporations. How Laboratory Corporation of America and Quest Diagnostics Incorporated solve this problem will affect and influence every remaining clinical laboratory and pathology group practice in the United States. That’s because the marketing and pricing strategies of the two …

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“October 20, 2003 Intelligence: Late Breaking Lab News”

Here’s a reminder that corporate fraud didn’t bypass healthcare. Last week Albert Bergonzi, former Executive Vice President of McKesson/HBOC, pled guilty to violations of securities laws. He admitted that he had “cooked the books” around the time of HBOC’s acquisition by McKesson. In a court filing, Borgzoni declared “we falsely inflated quarterly soft- ware sales …

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