Tag: electronic health record

Northwell Health Lab Team Leverages Data to Add Value

By Joseph Burns, from the Volume XXVI No. 8 – June 10, 2019 issue

CEO SUMMARY: Today, insurers get risk-adjusted payments for treating patients who have high-cost health conditions and they make risk-adjusted payments to physicians, hospitals, and other providers. At Northwell Health, the clinical lab saw the opportunity to leverage lab test data with other clinical and demographic data to identify patients who were undiagnosed or whose conditions were

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LIS-EHR Fees Increasing, Say Hospital Lab Execs

By Joseph Burns, from the Volume XXVI No. 4 – March 18, 2019 issue

CEO SUMMARY: Hospital and health system lab managers say some vendors of electronic health record systems for independent physicians are aggressively raising the fees they charge labs. Labs serving outreach physicians now pay more in two ways, they say. First, they pay the price the vendor charges to implement an LIS-to-EHR interface. Second, they pay

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Pathology Firm Pays $63M to Settle Qui Tam Case

By Joseph Burns, from the Volume XXVI No. 3 – February 25, 2019 issue

CEO SUMMARY: Inform Diagnostics, formerly Miraca Life Sciences, settled the federal qui tam case while denying wrongdoing. The $63.5 million settlement will by paid by the former owner, Miraca Holdings, a Japanese company. The federal Department of Justice alleged that the company—then known as Miraca Life Sciences—violated the False Claims Act by engaging in what

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For Labs, Blockchain Offers New Opportunities

By Joseph Burns, from the Volume XXVI No. 3 – February 25, 2019 issue

CEO SUMMARY: Some of blockchain’s proponents view its potential uses in health information technology to combat cybersecurity threats and improve the secure exchange of health information through electronic medical record systems. But for clinical laboratories, blockchain could be the key to improve payment processes and help eliminate errors in payment and allowed amounts. In theory,

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Lower Prices, More Data in UHC’s New Lab Network?

By Joseph Burns, from the Volume XXVI No. 2 – February 4, 2019 issue

CEO SUMMARY: It’s been a common strategy among managed care payers to seek the lowest prices for clinical laboratory testing when negotiating contracts with labs. However, lower prices may become less important over time as the health system moves away from fee-for-service payment toward value-based reimbursement. Now evidence is accumulating that at least some large

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Dartmouth-Hitchcock Builds Strong Lab Outreach Business

By Joseph Burns, from the Volume XXV No. 10 – July 9, 2018 issue

CEO SUMMARY: As health networks and hospitals consider outsourcing their lab outreach programs, the lab team at Dartmouth-Hitchcock Medical Center (D-H) offers lessons about the value of retaining outreach. D-H is now in the eighth year of a sustained expansion of its laboratory outreach business. It has combined its lab outreach strategy with a proven

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In Florida, More Tests Added to UHC’s Decision-Support Program

By Joseph Burns, from the Volume XXV, No. 1 – January 2, 2018 issue

IN THE FIRST BROAD EXPANSION OF ITS pilot decision-support program for clinical lab testing in Florida, UnitedHealthcare (UHC) will add genetic and molecular tests, drug tests, and pathology procedures, among other assays starting in two months.

On March 1, UHC will expand its laboratory benefit management program in Florida beyond the initial 80 routine anatomical and

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Paths of Hospital Labs, Independent Labs Diverge

By Robert Michel, from the Volume XXIV, No. 16 – November 20, 2017 issue

CEO SUMMARY: With each passing year, the primary role of hospital and health system labs evolves in a different direction than that of independent lab companies. This trend is a response to the creation of integrated delivery networks paid on value and how they are scored on their ability to keep patients out of hospitals

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NYU Langone and Sonic Healthcare Create Laboratory Outreach Joint Venture

By Joseph Burns, from the Volume XXIV, No. 13 – September 18, 2017 issue

CEO SUMMARY: NYU Langone Health recognized the clinical and financial advantages of providing competitive lab outreach testing services to its employed physicians. The laboratory joint venture with Sonic Healthcare USA will allow NYU Langone to increase use of its hospital labs and will facilitate standardizing its testing methods, results, and reference ranges. The first phase

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Issues Encountered with Anthem’s Pre-approval

By Joseph Burns, from the Volume XXIV, No. 11 – August 7, 2017 issue

CEO SUMMARY: Since Anthem and AIM Specialty Health began a prior-authorization program for genetic testing July 1, a Northeast lab has not had any genetic tests approved through the new system. Physicians told the lab that the steps required for prior authorization were disruptive. Those doctors who regularly order genetic tests had not been trained

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Volume XXVI No. 8 – June 10, 2019

THE U.S. HAS LOST ALMOST 18% of its pathologists since 2007. This means the U.S. has even fewer pathologists than other countries who have already suffered adverse clinical lab quality events. TDR also digs further into what this means for the industry, finding that while salaries and benefits are increasing, higher pay will come with a heavier workload. Also, in a Clinical Lab 2.0 case study, TDR walks readers through the steps Northwell Health took to help improve patient care – and add value – by using its data to identify patients who were undiagnosed or misdiagnosed.

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Tag: electronic health record

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