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Aetna Settles Texas Suit, To Reform Care Policies

CEO SUMMARY: Texas demonstrates that, where providers have political clout, some of the more onerous aspects of managed care can be changed. The Texas Attorney General sued Aetna and five other HMOs in 1998 about the way physicians were given incentives to stay within budget numbers for t…

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Humana Denies Payment For Pathology CPT Codes

CEO SUMMARY: It’s not just the Medicare program that wants to eat away at the reimbursement for laboratory tests. Private payers continue to seek ways to cut back reimbursement to laboratory providers. The latest attack is on two surgical pathology codes—88300 and 88302. In at least t…

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Looking for Laboratory Leadership

ONE ASPECT OF LABORATORY MANAGEMENT which is seldom discussed is the topic of leadership. Pure and simple, every laboratory organization and pathology group practice needs an effective leader if it is to survive and prosper. This is particularly true as reimbursement for lab services continues to shr…

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2000’s Movers & Shakers Represent Strong Leaders

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…

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Pap Technology Wars Expected to Intensify

CEO SUMMARY: With patience and persistence, Digene, Inc. is developing the effectiveness of its DNA-based HPV assay. Publication of recently-completed clinical trials provides evidence that Digene’s Hybrid Capture II ® HPV test, with further improvement, might become a relevant tool in…

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Bio-Reference Labs, CARESIDE, United Healthcare, MetLife, Foundation Health

BIO-REFERENCE LABS MOVES TO START PATIENT-DOCTOR MESSAGING ONE OF THE NATION’S MORE AGGRESSIVE efforts to refocus the clinical laboratory organization can be found at Bio-Reference Laboratories, Inc., located in Elmwood Park, New Jersey. Bio-Reference wants to use its bas…

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NH Rural Hospital Labs Connecting Via Internet

CEO SUMMARY: Expect the Internet to be a tool for leveling the competitive playing field. Ten rural hospital labs in New Hampshire are now connecting their labs and their outreach physician office clients with a Web-based lab test ordering and results reporting system. The goal is to incr…

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Academic Hospital Lab Raises Competitive Bar

CEO SUMMARY: Few academic center laboratories are as swift-moving as the UMASS Health System Laboratory. In the next 90 days, it will move into a brand new off-site core laboratory. During this same 90 days, it is implementing its first web-based laboratory test ordering and results repor…

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WellPoint Health Networks Offers To Buy Aetna For $10.5 Billion

TAKING ADVANTAGE of a weak share price for Aetna, Inc., two major corporations sent an unsolicited tender offer to the Aetna board. The joint bid was submitted by WellPoint Health Insurance Networks Inc. of Thousand Oaks, California, and ING Group NV, a Dutch insura…

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AmeriPath Pursues Ambitious Strategy Of Rapid Expansion

CEO SUMMARY: As the pathology profession’s only publicly-traded physician practice management company, AmeriPath is the spear point of far-reaching changes now transforming pathology. With an annual revenue run rate of $270 million and an ample war chest of growth capital, AmeriPath int…

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