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lab testing companies

Several Big Surprises in 2018’s Top 10 Lab Stories

By Robert Michel | From the Volume XXV No. 18 – December 24, 2018 Issue

CEO SUMMARY: This year’s list of the Top 10 Lab Industry Stories for 2018 is dominated by new directives from Medicare and private health insurers, as well as significant decisions by federal courts. Collectively, these developments create new compliance risks for all clinical laborator…

Biggest Lab Firms Diverge on Hospital Lab Strategies

By Joseph Burns | From the Volume XXV No. 13 – September 10, 2018 Issue

CEO SUMMARY: Almost half of the nation’s hospitals and health systems are rethinking how to use their clinical labs to support clinical and financial strategies. Options range from outright sale of their lab outreach businesses to lab management agreements or joint ventures with one of …

Attorney Explains 70/30 Rule, Pass-Through Bill Arrangements

By Joseph Burns | From the Volume XXV No. 10 – July 9, 2018 Issue

HOW THE LAB OUTREACH BUSINESSES of rural hospitals originate lab specimens and bill for lab tests is getting increased scrutiny. The reason for this rise in interest is that a growing number of rural hospitals are generating almost as much revenue from laboratory outreach testing as they get from all…

Lab companies and bankrupt hospitals: Dancing around medical billing fraud

By R. Lewis Dark | From the Volume XXV No. 8 – May 29, 2018 Issue

This is an excerpt from a 2,000-word article in the May 29, 2018 issue of THE DARK REPORT. The complete article is to all readers as long as the article limit has not been reached, and always available to paid members of the Dark Intelligence Group. …

Why Lab Companies Buy Bankrupt Rural Hospitals

By Joseph Burns | From the Volume XXV No. 8 – May 29, 2018 Issue

CEO SUMMARY: Seeking the higher lab-test payment rates that insurers pay hospital labs, some lab testing companies are buying rural, financially-struggling hospitals in what may be the latest twist on the pass-through billing strategy that certain lab testing firms have found to be lucrat…

Insurers Sue To Challenge Pass-Through Bill Schemes

By Joseph Burns | From the Volume XXV No. 7 – May 7, 2018 Issue

CEO SUMMARY: In two separate lawsuits filed in April, UnitedHealthcare (UHC) and Anthem each charged that drug testing companies used pass-through-billing schemes in ways the insurers say are fraudulent. UHC filed its lawsuit on April 18. One day later, on April 19, Blue Cross and Blue Sh…

Why Pharma, Private Equity Want to Reshape Lab Industry

By Joseph Burns | From the Volume XXV No. 5 – March 26, 2018 Issue

CEO SUMMARY: A disruptive force that involves precision medicine, pharmaceutical companies, and venture capital investors is poised to reshape the clinical laboratory industry. Genetic knowledge makes it possible to match cancer drugs to specific mutations. Pharma companies and professio…

A coming transformation: Control over important diagnostic technologies is about to change hands

By Mary Van Doren | From the Volume XXV No. 5 – March 26, 2018 Issue

This is an excerpt from a 2,920-word article in the March 26, 2018, issue of THE DARK REPORT. The complete article is available for a limited time to all readers, and available at all times to paid members of the Dark Intelligence Group. CEO SUMMARY: He…

Use of ‘1099 Marketers’ and Lab Compliance Risk

By Jon Stone | From the Volume XXV No. 3 – February 12, 2018 Issue

CEO SUMMARY: Experts in lab compliance predict that clinical laboratories and anatomic pathology groups must anticipate tougher enforcement of federal and state laws this year. One source of increased compliance risk for lab companies is the rising use of third-party marketing agreements….

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