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What Labs Can Expect from PAMA in 2019

By Joseph Burns | From the Volume XXVI No. 7 – May 20, 2019 Issue

CEO SUMMARY: Attendees at the Executive War College learned that CMS has taken steps to expand the number of hospital labs required to report their private payer lab test price data under the Protecting Access to Medicare Act, but the unbundling of certain test panels could be problematic…

New Opioid Law Hits Labs Paying Sales Commissions

By Joseph Burns | From the Volume XXV No. 17 – December 3, 2018 Issue

CEO SUMMARY: At the last minute, Congress added all clinical laboratories to a far-reaching anti-kickback provision in the newly-enacted Support for Patients and Communities Act. This provision applies to all payers, both government and private. Lab experts say this new law could have a n…

New Opioid Law Goes Beyond – Far Beyond – Anti-Kickback Statute

By Mary Van Doren | From the Volume XXV No. 17 – December 3, 2018 Issue

CEO SUMMARY: At the last minute, Congress added all clinical laboratories to a far-reaching provision in the newly-enacted …

Morgan Stanley Report Shows 8% of Hospitals at Risk of Closure

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

AMONG THE ROUGHLY 6,500 HOSPITALS OPERATING in the United States, only about 125 (2.5%) have closed in the past five years. But in the coming years, some 450 hospitals are at risk of closing. Analysts at Morgan Stanley said 600 other hospitals have weak finances that could lead them to close. In the…

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…

Health insurance fraud cases take new turn with HDL-BlueWave outcome

By Mary Van Doren | From the Volume XXV No. 3 – February 12, 2018 Issue

This is an excerpt from a 2,700-word article in the February 12, 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:…

Allegations of Lab Test Fraud Involve Multiple Defendants

By Pamela Scherer McLeod | From the Volume XXV No. 2 – January 22, 2018 Issue

CEO SUMMARY: UnitedHealth made national news when it filed a $100 million lawsuit against Next Health and other defendants in Dallas in January 2017. The insurer alleged fraud involving clinical laboratory tests. That lawsuit is just the latest chapter in an almost decade-long string of …

Allegations in UHC health insurance fraud case involve multiple defendants

By Mary Van Doren | From the Volume XXV No. 2 – January 22, 2018 Issue

This is an excerpt from a 5,000-word article in the January 22, 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. …

Delay and Fix Is Message From Labs to Congress

By Robert Michel | From the Volume XXIV No. 11 – August 7, 2017 Issue

CEO SUMMARY: Only a few months remain before the federal Centers for Medicare and Medicaid Services makes deep price cuts to Medicare Part B clinical laboratory test fees. Before those cuts go into effect, lab associations and lab professionals are educating members of Congress and the ne…

Six Years after Launch, Med Fusion Sold to Quest

By Joseph Burns | From the Volume XXIV No. 9 – June 26, 2017 Issue

CEO SUMMARY: In Dallas, the relatively short-lived lab company known as Med Fusion has a new owner. After seven years, the lab partnership of Baylor Scott and White, US Oncology Network, Texas Oncology, and Pathologists Bio-Medical Laboratories decided to sell their ownership stakes to Qu…

Volume XXVII No. 10 – July 13, 2020

IS POOLED TESTING the answer to COVID-19 testing shortages? Yes and no. THE DARK REPORT analyzes the pros and cons of this suddenly-popular old idea, with experts from across the industry offering their input. Also in this issue is the case for why local labs should be getting more testing supplies, and how the government has damaged the supply chain.

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