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Is Physicians’ Office Testing Evolving Toward an Oligopoly?
By Robert Michel | From the Volume IX No. 7 – May 13, 2002 Issue
CEO SUMMARY: One of the most unpopular industries with consumers is the airline industry. At the national level, it is an oligopoly—dominated by seven carriers. But in many cities, it is a monopoly, with one airline flying 80% of the seats in and out of town. Ongoing consolidation of re…
Certain Medicare Lab Reforms May Make It Through Congress
By Robert Michel | From the Volume VIII No. #15 – November 5, 2001 Issue
ONE CONSEQUENCE of the terrorist attacks on September 11 is that proposed reforms to Medicare lab reimbursement policies have assumed a lesser priority with the current Congress. Despite that fact, Congress must still address the day-to-day requirements of managing government functions. Thus, there …
Institute of Medicine Calls For 12 Medicare Lab Reforms
By Robert Michel | From the Volume VIII No. 6 – April 30, 2001 Issue
CEO SUMMARY: Since 1987, the clinical lab industry has endured almost non-stop cuts in the absolute level of Medicare reimbursement for lab testing. But the time may be ripe for laboratories to work together to effect far-reaching reforms to Medicare laboratory payment policies. Just as t…
2000’s Movers & Shakers Represent Strong Leaders
By Robert Michel | From the Volume VII No. 5 – March 27, 2000 Issue
CEO SUMMARY: Its time again for THE DARK REPORT to make its yearly selection of the lab industry’s Movers & Shakers. Individuals chosen for 2000 represent a cross section of laboratory companies. Their successes demonstrate that leadership and vision continue to make a difference, d…
McKesson on HBOC, PAML, Medicare Coding, Abbott Laboratories
By Robert Michel | From the Volume VI No. 10 – July 19, 1999 Issue
SCANDAL AT HBO & CO. TAINTS MCKESSON HBOC FIVE EXECUTIVES WERE SACKED by McKesson HBOC Inc.’s Board of Directors last month in response to allegations of financial improprieties. All five were employed by HBOC prior to its acquisition by McKesson last year. The termin…
Labs Entering New Cycle Of Evolution and Change
By Robert Michel | From the Volume VI No. 6 – April 26, 1999 Issue
CEO SUMMARY: As some of the nation’s most astute and forward-looking lab executives prepare to gather in New Orleans for the fourth annual EXECUTIVE WAR COLLEGE, it is time to share our assessment of the laboratory and pathology industry. Recent events presage another profound …
Sales & Marketing Is Critical To Success Of Labs & Pathologists
By Robert Michel | From the Volume VI No. 4 – March 15, 1999 Issue
CEO SUMMARY: Careful study of the most successful lab oratories operating today reveals a common characteristic: the effective use of sale s and marketing methods to boost specimen volume, revenue, and operating profits. This is true whether it’s a hospital lab outreach program, a comme…
What’s Next For Regional Laboratory Networks?
By R. Lewis Dark | From the Volume V No. 16 – November 30, 1998 Issue
SINCE THE CONCEPT OF REGIONAL LABORATORY NETWORKS burst on the scene in 1995, I have ardently believed in their potential to help hospital laboratories remain relevant in the world of managed healthcare. The early victories of Pittsburgh’s Regional Laboratory Alliance and San Franc…
Washington’s PacLab Network Succeeds With Standardization
By Robert Michel | From the Volume V No. 16 – November 30, 1998 Issue
PART TWO OF TWO PARTS CEO SUMMARY: In part one of this two-part series, we looked at how changes to healthcare in the state of Washington brought about the creation of PacLab Network Laboratories. In this concluding installment, we explore how PacLab is standardizing lab…
Washington State’s PacLab Network Is A Regional Winner
By Robert Michel | From the Volume V No. 14 – October 19, 1998 Issue
CEO SUMMARY: As a regional laboratory network, PacLab is unusual in one respect: participating hospital laboratories did not meet endlessly to talk about what they should do. Instead, action was the operative word for these network organizers. Since becoming operational in 1996, their bia…
CURRENT ISSUE

Volume XXXII, No. 6 – April 21, 2025
Now that a federal judge has vacated the FDA’s LDT rule, The Dark Report analyzes the judgement and notes the various steps the FDA could take in response. Also, lab testing at pharmacies is proving to be less successful than was once anticipated.
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