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“Pay for Performance” Starts For California Docs

CEO SUMMARY: California is a bellwether state for healthcare innovations. Six of its largest payers are collaborating on “Pay For Performance,” a program which pays financial incentives to physician group practices which achieve measurable outcomes in clinical care, patient satisfacti…

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New Trends in 2003 Affect Clinical Lab Services

CEO SUMMARY: Here’s our current list of macro trends that affect clinical laboratories, updated from the last list in January 2000. One bold prediction is that Medicare, as we know it, is on the verge of a major meltdown. Employers and consumers are also new forces to be reckoned with b…

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Two Blood Brothers Use “Free Testing” Strategy

CEO SUMMARY: It’s a business strategy that Quest Diagnostics Incorporated and Laboratory Corporation of America use in selected areas where they have lost exclusive managed care contracts to regional lab competitors. In order to retain access to a physician’s fee-for-service testing b…

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Michigan Lab Network Wins Major HMO Deal

CEO SUMMARY: By winning the contract for Health Alliance Plan (HAP), Joint Venture Hospital Laboratories (JVHL) captured another major exclusive managed care contract for lab testing services in Southeast Michigan. Its victory demonstrates that local hospital lab outreach programs can com…

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Provider Performance Ranking Now Hitting Healthcare System

CEO SUMMARY: When 96 big corporations, employing 28 million people and spending $52 billion on healthcare, begin publishing hospital performance measurements so their employees can make informed choices, that’s big news! THE DARK REPORT predicts this is a major step toward detailed meas…

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UnitedHealth Using Lab Data To Improve Health Outcomes

CEO SUMMARY: Managed Care is shifting into a new operational model that places prime emphasis on using clinical information to drive improvements in the quality of healthcare. At UnitedHealth Group, one of the nation’s largest health insurers, early efforts to analyze clinical data have…

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MCOs Asking For More Lab Test Information

CEO SUMMARY: During the past 12 months, managed care companies in Michigan have increased the quantity and quality of the laboratory test information they want from their laboratory providers. Once again, the marketplace is raising the bar for competitive laboratory services. In response,…

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Profitable Prices for New Lab Information Services

ONE RESPONSE TO THE CONTINUED CUTBACKS for laboratory test reimbursement during the 1990s was a deluge of papers and speeches by pathologists and lab executives hammering at the theme that laboratory information possesses the potential to improve the quality of healthcare outcomes while reducing the…

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LabCorp and CIGNA Ink New Provider Agreement

CEO SUMMARY: After four years of working with SmithKline Beecham Clinical Labs as its sole designated laboratory provider, Cigna Healthcare recently opened the door to Laboratory Corporation of America. THE DARK REPORT believes this development is first evidence that the nation’s larges…

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KC Regional Lab Network Makes Steady Progress

CEO SUMMARY: In Kansas City, members of the Regional Laboratory Alliance (RLA) had a common purpose in forming their network four years ago—to preserve their status as laboratory provider for a major managed care plan in their area. After successfully attaining that goal, RLA’s member…

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