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Powerful Trends Reshaping Anatomic Path Profession
By Robert Michel | From the Volume XV No. 2 – February 11, 2008 Issue
CEO SUMMARY: THE DARK REPORT presents its newest biannual review of macro trends reshaping the anatomic pathology profession. These macro trends reveal a profession undergoing change and transformation on multiple fronts. New competitors are crowding into the market, payers and accreditin…
Total Health Spending Rises 6.7%, Tops $2.1 Trillion during 2006
By Robert Michel | From the Volume XV No. 1 – January 21, 2008 Issue
HEALTHCARE COSTS totaled $2.1 trillion in 2006, according to the January/ February issue of Health Affairs. That is an increase of 6.7% over total spending in 2005, wrote researchers in an analysis titled “National Health Spending In 2006: A Year Of Change For Prescription Drugs.” Outside of a b…
Labs Face “Coercive” Bid, Not Competitive Bidding
By Robert Michel | From the Volume XV No. 1 – January 21, 2008 Issue
CEO SUMMARY: In the weeks since the December 5 bidders’ conference in San Diego, where Medicare officials took the wraps off the complete requirements for the Laboratory Bidding Demonstration Project, the Clinical Laboratory Coalition has begun to consider strategies to delay or cancel …
Numerous Issues Identified With Bid Demo’s 303 Tests
By Robert Michel | From the Volume XIV No. 18 – December 31, 2007 Issue
CEO SUMMARY: One experienced expert in billing and coding was surprised at the list of 303 tests to be included in the Medicare Laboratory Competitive Bidding Demonstration Project. He notes that the list of 303 tests includes a number of codes and descriptions that are not consistent wit…
Anticipate Access/Service Decline for S.D. Patients
By Robert Michel | From the Volume XIV No. 18 – December 31, 2007 Issue
CEO SUMMARY: In its primary push to use the Medicare Laboratory Competitive Bidding Demonstration Project as a tool to drive down the price Medicare pays for Part B laboratory testing services, CMS is giving secondary attention to patients’ needs. In particular, CMS seems to place littl…
Analyzing Lab Bid Demo To Predict Its Outcome
By Robert Michel | From the Volume XIV No. 18 – December 31, 2007 Issue
CEO SUMMARY: After two decades of study and preparation, the Centers for Medicare & Medicaid Services (CMS) is pushing the laboratory profession toward the first pilot site in the Congressionally-mandated Medicare Clinical Laboratory Services Competitive Demonstration Project. Designe…
How PAML Built a Major Business In Lab Joint Ventures with Hospitals
By Robert Michel | From the Volume XIV No. 17 – December 10, 2007 Issue
“A well-structured laboratory joint venture helps the hospital partner tap the unrealized value of its laboratory, because the independent lab partner provides capital, along with experience, and expertise to s…
Building the Better Mousetrap for Lab Outreach
By R. Lewis Dark | From the Volume XIV No. 17 – December 10, 2007 Issue
IS THERE A BLUEPRINT for building a thriving, successful hospital outreach program in a new market? If so, it would certainly be a best seller among hospitals seeking new sources of revenues and profits from outreach …
Busy Year Demonstrated By Top Ten Lab Stories
By Robert Michel | From the Volume XIV No. 17 – December 10, 2007 Issue
CEO SUMMARY: As it turns out, 2007 has been an action-packed year with lots of events, plenty of changes, and the promise of even faster evolution across all sectors of the lab testing marketplace. THE D…
ARUP, Motoman Automate Thawing and Mixing Steps
By Robert Michel | From the Volume XIV No. 16 – November 19, 2007 Issue
CEO SUMMARY: Laboratory automation continues to develop in unexpected new directions. Recently, ARUP Laboratories and Motoman, Inc., collaborated to develop an automated thawing and mixing solution that integrates with ARUP’s existing automated line and replaces manual processes. Put in…
CURRENT ISSUE

Volume XXXII, No. 13 – September 15, 2025
The Dark Report examines a new bill that would reform PAMA and avoid reimbursement rate cuts scheduled for January 2026. Clinical laboratory leaders are urged to make their voices heard in Congress. Also, an expert describes how labs can fix pre-analytical errors and avoid disaster.
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