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Volume XXVI No. 1 - January 14, 2019

Do Community Labs Have a Future in the U.S.?

Commentary and Opinion by R. Lewis Dark / By

It may be timely to ask a provocative question that touches everyone in the profession of laboratory medicine. Is there a future for community laboratories and hospital lab outreach programs in the United States, given the different forces acting upon the clinical laboratory industry today? In this issue, our editorial team describes the multiple disruptive …

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Why PAMA May Be Poised to Disrupt Lab Industry

Clinical Laboratory Trends / By

CEO SUMMARY: This will be one of the most challenging years facing the clinical lab industry since the early 1990s, when closed panel HMOs were the disruptive force that generated deep cuts in lab test prices. However, unlike HMOs of that era, the CMS scheme to collect private payer lab test prices and use that …

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CEO Offers Lab Strategies for a Post-PAMA World

Laboratory Management / By

CEO SUMMARY: With so many market forces working against the economic interests of clinical laboratories, it is essential that all labs develop appropriate strategies designed to sustain the quality of laboratory testing services and the financial integrity of the laboratory organization. In this intelligence briefing, XIFIN, Inc.’s CEO, Lâle White, explains five strategies that are …

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ProMedica Lab Succeeds with Metrics, Daily Huddles

Laboratory Management / By

CEO SUMMARY: In Toledo, Ohio, ProMedica Laboratories uses extensive metrics to analyze almost all processes in the lab. Under a process improvement program in place for more than five years, the lab has implemented daily management to help streamline day-to-day operations. Concurrently, a newly-formed cross-functional test utilization team adopted recommendations from the Choosing Wisely campaign …

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UnitedHealthcare Forming Network of Preferred Labs

Clinical Laboratory Trends / By

NEW CLINICAL LABORATORY CONTRACTING INITIATIVES are planned at UnitedHealthcare (UHC), including the launch of a preferred laboratory network this summer. The nation’s largest health insurer with 49 million beneficiaries, UHC announced in May that it would add Quest Diagnostics as an in-network lab provider effective Jan. 1, and retain Laboratory Corporation of America as a …

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In PAMA Appeal, ACLA Says Federal District Court Erred

Laboratory Billing / By

LAST MONTH the American Clinical Laboratory Association (ACLA) filed an appeal in its case against the federal Department of Health and Human Services (HHS). In its court filing, the ACLA said that a federal district court judge erred in her ruling against the lab association. The district court misinterpreted the Protecting Access to Medicare Act …

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January 14, 2019 Intelligence: Late Breaking Lab News

Late Breaking Lab News / By

Up to 10,000 patients will get free genetic testing at Northwell Health, the nation’s largest urban health network. In a deal announced on Jan. 9, Northwell Health and Color, a genetic testing company, will collaborate on a program to offer genetic tests to Northwell patients as part of routine primary care. This expands an earlier pilot …

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Is There a Future for Hospital Lab Outreach Programs?

TDR Insider / By

CEO SUMMARY: This will be one of the most challenging years facing the clinical lab industry since the early 1990s. The CMS scheme to collect private payer lab test prices and use that data to set Medicare clinical laboratory test prices is proving to be an indiscriminate tool that is poised to undermine the financial integrity of many labs, …

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