TAG:
medicare laboratory
Anticipate Access/Service Decline for S.D. Patients
CEO SUMMARY: In its primary push to use the Medicare Laboratory Competitive Bidding Demonstration Project as a tool to drive down the price Medicare pays for Part B laboratory testing services, CMS is giving secondary attention to patients’ needs. In particular, CMS seems to place littl…
Analyzing Lab Bid Demo To Predict Its Outcome
CEO SUMMARY: After two decades of study and preparation, the Centers for Medicare & Medicaid Services (CMS) is pushing the laboratory profession toward the first pilot site in the Congressionally-mandated Medicare Clinical Laboratory Services Competitive Demonstration Project. Designe…
Medicare’s Lab Competitive Bidding Demonstration
EVERYONE SHOULD MARK JANUARY 1, 2007 ON THEIR CALENDARS. On that date, just 14 weeks from now, Medicare administrators intend to announce which laboratory bidders will be allowed to provide lab testing services in the laboratory competitive bidding demonstration that was mandated by the 2003 Medicare…
Lab Competitive Bidding Project Slated For Jan. 1
CEO SUMMARY: In a rather quiet fashion, Medicare officials have disclosed timetable dates for implementing the laboratory competitive bidding demonstration mandated by the 2003 Medicare spending bill. Medicare intends to announce the names of participating laboratories by January 1, 2007….
Ex-IMPATH Executives Face Criminal Charges
CEO SUMMARY: With the announcement by Federal prosecutors of criminal and civil actions against a total of seven ex-IMPATH executives, IMPATH becomes the laboratory industry’s worst criminal scandal. Federal prosecutors contend these executives, during their employment at IMPATH, engine…
California Medicaid Prepares To Issue Lab Contracts
CEO SUMMARY: California Medi-Cal officials may be creating more problems than they solve with their latest scheme to have independent laboratories sign contracts with their Medicaid program—while excluding hospital laboratory outreach programs and labs operated from physicians’ clinic…
Florida Issues State RFP For Sole Medicaid Lab
CEO SUMMARY: If competitive bidding for Medicare business is something universally viewed as bad by the laboratory industry, then the lab services RFP issued by Florida’s Medicaid program must be considered a serious threat to the status quo. Further, the fact that Medicaid officials in…
New York Labs Fight Medicare 20% Co-Pay
CEO SUMMARY: Participating laboratories in the New York State Clinical Laboratory Association (NYSCLA) generated a flood of calls to their state’s congressional delegation in recent weeks. Included in their bill for lab testing, patients got a flyer telling them about pending legislatio…
Time to Change Bad Medicare Lab Policies
BYZANTINE MEDICARE REGULATIONS AND BELTWAY POLITICS are uncommon topics for THE DARK REPORT. There are any number of other sources out there that provide ample details about laboratory compliance, the complexities of billing and coding, and whether Senator Smootly will or won’t vote for reinstating…
Institute of Medicine Calls For 12 Medicare Lab Reforms
CEO SUMMARY: Since 1987, the clinical lab industry has endured almost non-stop cuts in the absolute level of Medicare reimbursement for lab testing. But the time may be ripe for laboratories to work together to effect far-reaching reforms to Medicare laboratory payment policies. Just as t…
CURRENT ISSUE
Volume XXXII, No. 6 – April 21, 2025
Now that a federal judge has vacated the FDA’s LDT rule, The Dark Report analyzes the judgement and notes the various steps the FDA could take in response. Also, lab testing at pharmacies is proving to be less successful than was once anticipated.
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