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Volume XX No. 9 - July 8, 2013

Lab Landscape Changing as ACOs Get Started

Commentary and Opinion by R. Lewis Dark / By

FOR THOSE OF YOU INTERESTED IN HOW the development of accountable care organizations (ACOs) in a community causes a realignment among providers and the clinical laboratories serving them, I offer you the example of Genesis Health System in Davenport, Iowa. As you will read in this article, this five-hospital health system has just acquired the …

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Hospital System Acquires Labs In ACO Strategy

Laboratory Management / By

CEO SUMMARY: Moving to deliver services as an accountable care organization (ACO), Genesis Health System of Davenport, Iowa, has acquired the laboratory assets in two hospitals previously operated by Metropolitan Medical Laboratory, PLC, a lab company owned by local pathologists. Genesis aims to improve data integration to support CPOE. It also plans to pursue cost …

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BlueCard Policy Causing Clinical Labs to Go Unpaid

Laboratory Billing / By

CEO SUMMARY: Clinical laboratories doing lab test work for Blue Cross Blue Shield patients using their BlueCard benefit are no longer being paid by the Blues plans. Some Blues plans are sending those reimbursement checks directly to their members with instructions for the patient to use those funds to pay their lab bills. Instead, most …

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Report Shows Price Drop for Most Molecular Tests

Laboratory Billing / By

CEO SUMMARY: In recent weeks, labs are reporting that Medicare contractors have begun to issue payments for molecular test claims filed—but unpaid—since January 1, 2013. A newly-issued analysis of this situation by Quorum Consulting indicates that, for many molecular assays, Medicare contractors are now paying less than they paid for the same tests last year. …

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Medicare Contractor’s Ruling on MolDx Test Causes Lab to Close

Laboratory Billing / By

CEO SUMMARY: On May 14, Predictive Biosciences learned that its Medicare contractor had determined that one of its three molecular tests for bladder cancer was a screening test. It also never got a determination on its other two molecular tests. Because Medicare is half of the lab’s payer mix, and since the company was worried …

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Aetna Threatens to Expel Docs for Out-of-Network Lab Referrals

Managed Care Contracts / By

MANAGED CARE PLANS are taking aggressive steps to keep clinical lab testing within their preferred networks. In particular, Aetna, Inc., is earning a reputation as one of the toughest insurers in this regard. Most recently, in a letter sent to at least one network physician, Aetna warned the physician that, if the doctor continued to …

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PathCentral Launches Sale of New Anatomic Pathology LIS

Laboratory Information Systems / By

THERE IS A NEW PLAYER in the market for anatomic pathology laboratory information systems (APLIS). This gives pathology groups a new option when it is time to upgrade or replace their existing APLIS. It also brings a new competitor into the existing market for anatomic pathology (AP) software. In recent years, the dominant players in …

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July 08, 2013 “Intelligence: Late Breaking Lab News”

Late Breaking Lab News / By

In China, independent clinical laboratories are in a fast-growth mode. That’s the conclusion of RnRMarketResearch in a newly-issued survey of the clinical laboratory testing market in China. It estimates this market segment at US$407 million annually. RnR says that three lab companies meet the definition of “large-scale chain-store clinical laboratories.” They are KingMed Diagnostics, Adicon Clinical …

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