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Newsmaker Interview: Matthew Hawkins

CEO SUMMARY: By now, most pathologists and clinical laboratory administrators recognize that effective use of information technology will be a critical success factor as healthcare systems transform to do population health management and to use “big data” with value-based payment mode…

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2015’s Top 10 Lab Stories Show Significant Changes

CEO SUMMARY: During 2015, two stories captured the full attention of most pathologists and clinical lab managers. One was how CMS intends to gather lab price market data as mandated by PAMA. The other was the continued efforts by the FDA to move ahead on proposed guidance for regulation o…

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Hospital CEOs Have Nothing to Fear from Theranos

FOR MORE THAN TWO YEARS, Theranos, the lab testing company that says it intends to disrupt the clinical lab industry, has been the subject of cover sto- ries in many prominent consumer and business publications. Its masterful public relations campaign seems to have touched almost eve…

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Quest to Buy Outreach Lab from Hartford Health System

MORE LAB CONSOLIDATION is happening in Connecticut. Last week, Quest Diagnostics Incorporated announced it will purchase the outreach laboratory business of Clinical Laboratory Partners. CLP is a division of Hartford HealthCare, a health system with …

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Will 2016 Bring Opportunity or Tribulations for Labs?

WE ARE JUST ABOUT EIGHT WEEKS FROM THE ADVENT OF 2016. Given the rapid transformation of healthcare that continues to unfold, it is timely to assess how clinical labs and pathology groups are likely to fare during the coming year. On the plus side, the ongoing evolution toward integration of clinica…

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CMS Releases Draft of PAMA Market Price Rule

CEO SUMMARY: CMS’ proposed rule details how it will collect private market data, then use that data to establish prices for the Medicare Part B Clinical Laboratory Fee Schedule beginning in 2017. The proposed rule will limit data reporting to les…

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LabCorp Loses A Hospital Lab Joint Venture

ONE OF THE NATION’S LONGEST-RUNNING LAB OUTREACH JOINT VENTURES involving a public lab company and a major hospital came to a quiet end on June 30. That’s the day when United/Dynacare Laboratories, LLC, ceased to exist. This was a joint venture in Milwaukee that was established …

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Locked Out of Payer Network, NH Hospital Opens Lab Company

CEO SUMMARY: Since Anthem launched its site of service program in New Hampshire in 2010, labs in the state’s hospitals have mostly been excluded from its network and have lost market share. Recently one community hospital developed an unusual strategy to win back those patients…

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Labs Have Strategies to Address Narrow Networks

IN TODAY’S EVOLVING HEALTHCARE SYSTEM, labs and pathology groups of all sizes in all communities are dealing with the issues of payers narrowing networks and the formation of ACOs, with all the unknowns about reimbursement that come with this new organizational model of healthcare. That is why you…

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Market Price Report Rules Must Address All Issues

CEO SUMMARY: Under the Protecting Access to Medicare Act, CMS must collect market price and volume data from certain labs beginning January 1, 2016. CMS will use this data to establish Part B clinical laboratory fees beginning in 2017. One lab association representing community a…

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