Given all the challenges of dealing with payers, many clinical laboratories find themselves tempted by the idea of offering cash-based business lines such as direct-to-consumer (DTC) testing. The patient pays up front and undergoes the test, and the lab banks the income without the hassles of filing a claim and awaiting reimbursement. But labs should […]
Labs Looking at Cash-Based Options Face Complexity
Direct-to-consumer testing programs may need legal input to properly structure compliance
- By Stephen Beale
- > From the Volume XXXIII, No. 7 - May 26, 2026 Issue
- Tags: anti kickback statute, clia, concierge practices, David Pellagore, direct primary care, direct-to-consumer testing, DPC, DTC testing, executive war college, Function Health, Getlabs, Harvard Medical School, Health Affairs, Hims & Hers Health, Johns Hopkins University, LabCorp, Lifepoint Informatics, MaineHealth, Medicaid, Medicare, NorDx, Oregon Health and Science University, Patrick Carroll MD, post-payment audits, PWNHealth, Quest Diagnostics, Stark, stark law, telemedicine, Trellis Health, Zirui Song MD PhD
