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Volume XVII No. 13 - September 13, 2010

Labs Can Turn the Tables on the Payers

Commentary and Opinion by R. Lewis Dark / By

PRE-AUTHORIZATION OF GENETIC AND MOLECULAR TESTS is now on the radar screen of the nation’s larger health insurance companies. In most circumstances, payer pre-authorization requirements serve to exclude many smaller providers from access to patients. But local labs have a chance to guarantee their place as a preferred, in-network provider of expensive genetic tests. As …

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Two New Lab Companies Will Open in L.A. & Denver

Clinical Laboratory Trends / By

CEO SUMMARY: It is unprecedented for two multi-billion-dollar health systems to announce laboratory testing outreach joint ventures just days apart. In Los Angeles, Providence Health & Services will partner with PAML to start a commercial lab company in the San Fernando Valley. In Denver, Centura Health and PAML formed a similar clinical laboratory testing joint …

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More Hospitals Consider PAML’s Lab JV Model

Laboratory Management / By

CEO SUMMARY: One joint venture at a time, PAML is convincing hospital and health system CEOs about the benefits of building a thriving laboratory outreach business. For their part, facing budget cutbacks and a decline in Medicare reimbursement, more hospital administrators are beginning to recognize how and why laboratory outreach testing programs can bring substantial …

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Dr Lal PathLabs, Malpractice Costs, Med Tech Strike in New Zealand

Clinical Laboratory Trends / By

BOSTON INVESTORS PURCHASE INTEREST IN DR LAL PATHLABS PATHOLOGY AND CLINICAL LABORATORY COMPANIES IN INDIA continue to attract investor interest. Last month, TA Associates, a private equity firm in Boston, Massachusetts, announced that it had purchased a minority interest in Dr Lal PathLabs of New Delhi, India. TA Associates bought one-half of the shares held …

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Epic Launches LIS Software To Fill Out Ancillary Offerings

Laboratory Information Systems / By

MANY PATHOLOGISTS and laboratory administrators may be unaware that a company called Epic Systems Corporation is considered by some experts in healthcare informatics to be a disrupter of the status quo. Based in Verona, Wisconsin, Epic is best known for its acute and ambulatory EMRs (EpicCare), which took the top two spots on the “2009 …

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Payers Move to Pre-Authorize Expensive Genetic Tests

Genetic Testing / By

CEO Summary: Pre-authorization of expensive genetic and molecular tests is fast-becoming a priority for most of the nation’s health insurers. For clinical labs and pathology groups that don’t respond, this trend is a threat. On the other hand, because payers need all the skills and knowledge that labs possess to intelligently manage utilization of molecular …

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California Pathologist Wins Medi-Cal Pay Case

Laboratory Compliance / By

CEO SUMMARY: It was a case that stretched back several years. Medi-Cal officials, wanting to pursue collection of what it deemed overpayments, claimed that the pathologist who was on the license of two defunct lab companies as medical director was personally liable for the $6.37 million. An administrative judge had found in favor of Medi-Cal …

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September 13, 2010 “Intelligence: Late Breaking Lab News”

Late Breaking Lab News / By

Researchers at North Carolina State University are developing a method that might make it possible to diagnose and treat cancer through the use of special microneedles they developed. NCSU researchers use the microneedles to deliver nanoscale dyes based on quantum dots to locations under the skin. “Our findings are significant, in part, because this technology …

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