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Labs Begin Applying Lean to Cut Costs, Add Value

By Joseph Burns | From the Volume XXIV No. 15 – October 30, 2017 Issue

CEO SUMMARY: In more than 40 presentations by 55 speakers, two big themes dominated the 11th annual Lab Quality Confab in New Orleans last week. One theme is the urgent need to cut clinical laboratory costs. The second theme is the need for both clinical labs and anatomic pathology groups…

For Top 20 Tests, CMS to Cut Payment by 28% in 2018-2020

By Robert Michel | From the Volume XXIV No. 14 – October 9, 2017 Issue

ON SEPT. 22, MEDICARE OFFICIALS RELEASED THE DRAFT PRICES for the 2018 Clinical Laboratory Fee Schedule. The bad news for the lab industry is that the fee cuts are deeper than the federal Centers for Medicare and Medicaid Services had predicted earlier. The price cuts to clinical la…

NILA Asks Labs to Speak about PAMA Rule’s Flaws

By Joseph Burns | From the Volume XXIV No. 11 – August 7, 2017 Issue

CEO SUMMARY: In a call to action, the National Independent Laboratory Association is urging lab owners, lab managers, and pathologists to educate their members of Congress about the biases and deep flaws built into the final rule for PAMA market price reporting and how the rule will resul…

Message to Labs: Improve Outcomes, Get Paid More Money!

By Joseph Burns | From the Volume XXIV No. 8 – June 5, 2017 Issue

CEO SUMMARY: By now, there is widespread recognition among pathologists and clinical lab managers that the era of fee-for-service reimbursement is giving way to new forms of payment that reward value. First-mover lab leaders are in the earliest stages of developing enhanced lab testing se…

CEO Describes Characteristics Of the Clinical Lab 2.0 Model

By Joseph Burns | From the Volume XXIV No. 7 – May 15, 2017 Issue

CEO SUMMARY: Moving away from volume-based care will not be easy for clinical labs. After all, high volume sustains labs. But labs seeking to transition away from fee-for-service to value-based care must have a seat at the table where decisions are made, said a lab CEO who is part of Proj…

PAMA Data Projections Led to Decision to Sell Lab

By Joseph Burns | From the Volume XXIV No. 3 – February 21, 2017 Issue

CEO SUMMARY: Following passage of the Protecting Access to Medicare Act of 2014, officials at PeaceHealth and PeaceHealth Laboratories began to model the financial effect this law would have on this long-established hospital lab outreach program. Based on projections of a 20% cut in reven…

Lab Innovators Advocate Need for Clinical Lab 2.0

By Robert Michel | From the Volume XXIV No. 2 – January 30, 2017 Issue

CEO SUMMARY: It is generally recognized that the clinical lab industry faces a financial squeeze of unprecedented dimensions. Lab test prices are falling steadily and more major cuts are coming to Medicare Part B fees in just 11 months. At the same time, obtaining favorable coverage and r…

Revisiting the ‘Substantially in Excess Rule’

By R. Lewis Dark | From the Volume XXIII, No. 17 – December 19, 2016 Issue

BY NOW, NEARLY EVERY LAB MANAGER knows that Medicare lab test fee cuts will commence in just 13 months, on Jan. 1, 2018. The federal Centers for Medicare & Medicaid Services estimates that the f…

First CAP 15189 Accreditation for a Children’s Hospital Lab

By Joseph Burns | From the Volume XXIII No. 13 – September 26, 2016 Issue

CEO SUMMARY: It’s now official. St. Jude Children’s Research Hospital is the first children’s hospital to earn accreditation to ISO 15189 under the College of American Pathologists. What is more interesting, however, is how lab leadership used the quality management system of ISO 15…

Volume XXXII, No. 1 – January 6, 2025

The Dark Report examines how AI is being used to predict the outcomes of FDA LDT lawsuits. Also, this issue is Part Two of a series about boosting pathology compensation in different settings, including hospitals. Two experienced pathology consultants identify the most effective approaches when negotiating Part A pathology agreements with hospitals and health systems, along with how to use data to bolster these negotiations.

See the full table of contents

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