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Volume XXXI, No. 4 - March 18, 2024

Change Healthcare Hit by Major Cyberattack

CEO SUMMARY: It was a classic ransomware attack against Change Healthcare, the business unit of Optum that is itself a division of UnitedHealth Group. On Feb. 21, this cyberattack shut down critical systems at Change Healthcare, such as those involved in accepting and forwarding prescription drug orders to pharmacies and remitting reimbursement for those prescriptions. […]

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Examining the Worldwide Pathologist Shortage

CEO SUMMARY: Demand for pathology services is growing faster than the number of pathologists available to meet that demand. This is true for the United States and most other nations. Consequently, efforts are underway to more accurately measure the number of pathologists practicing in each country. Early data support the claim of an inadequate number

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Is Mobile Phlebotomy a Timely Service to Offer Health Plans?

Ā  EDITORā€™S NOTE: Our column, Virchow, is written by anonymous insiders working within the managed care world. The column aims to help clients of The Dark Report better understand the decisions, policies, and actions of payers as they manage their laboratory networks, establish coverage guidelines, process lab test claims, and audit labs. CLINICAL LABORATORIES COULD

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Genetics Company 23andMe Shares Update on Cyberattack

CONSUMER GENETICS HEALTHCARE AND BIOPHARMACEUTICAL COMPANY 23ANDME recently revealed that unauthorized access to millions of its customersā€™ personal information may have started earlier than the company previously reported. In its original U.S. Securities and Exchange Commission filing, 23andMe said it noticed a data breach in October 2023. But after a recent company investigation, the company

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Labcorp, Quest Diagnostics Discuss Q4 & 2023 Earnings

DURING RECENT EARNINGS CALLS WITH FINANCIAL ANALYSTS AND INVESTORS, both Labcorp and Quest Diagnostics discussed their fourth quarter (Q4) and full year 2023 financial results. Each reported some stability in the market for clinical laboratory testing services, reflected in the numbers reported for test volume and pricing. Quest Diagnosticsā€™ earnings call was first, on Feb.

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March 18, 2024, Intelligence: Late-Breaking Lab News

In California last month, Quest Diagnostics entered into a settlement agreement with California Attorney General Rob Bonta and nine local district attorneys. KCRA News of Sacramento reported that the ā€œsettlement resolves allegations that the company unlawfully disposed of hazardous waste, medical waste, and protected health information. The illegal disposal was said to occur at all

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Attorney Discusses Federal Cases Involving EKRA Violations by Labs

ITā€™S BEEN MORE THAN FIVE YEARS since Congress passed the Eliminating Kickbacks in Recovery Act of 2018 (EKRA). Lab managers and their attorneys quickly recognized that, whereas the Anti-Kickback Statute (AKS) has a safe harbor that permits percentage-based sales commissions to W2 employees, EKRA does not. The federal statutesā€™ conflicting language on this point created

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Successful Ransomware Attack Misses Lab Claims

HAS ANYONE NOTICED THAT CYBERCRIMINALS ARE STEADILY INCREASING THE SCALE AND MAGNITUDE OF THEIR ATTACKS? The ongoing disruption from the Feb. 21 ransomware attack on Change Healthcare, owned by UnitedHealth Group, has triggered substantial financial losses and major interruptions to the cash flow of hospitals and providers throughout the United States. As you will read

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