August 6, 2007 “Intelligence: Late Breaking Lab News”

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These days, it seems as if all sorts of physicians want to cut themselves a slice of the anatomic pathology pie. Now its podiatrists! Sources tell THE DARK REPORT that a large podiatric group in Atlanta has opened its own in-office pathology lab. Reportedly, this lab is generating more than $100,000 in revenue per month analyzing tissue specimens from toenails and feet.


Last month, the Centers for Medicare & Medicaid Services (CMS) announced that, in the first year of its three-year Medicare Physician Group Practice (PGP) demonstration project, all participating physician groups improved the clinical management of diabetes patients. This pay-for-performance (P4P) project rewards physicians for coordinating and managing the overall health care needs of patients with chronic conditions. Ten participating groups achieved the target performance measure on seven of the ten diabetes clinical quality measures and two of the groups met all 10 targets CMS had set.


Only two groups—Marshfield Clinic and University of Michigan Faculty Group Practice—earned performance payments for quality and efficiency of $7.3 million as their share of the $9.5 million that Medicare saved through the program. CMS officials said the lack of rewards for the other groups could be due to greater than anticipated start-up costs. Participating physicians said the program resulted in increased use of information technology, such as patient registries, and use of nurses to coordinate care. Appropriate utilization of laboratory tests and proper follow-up on results by participating physicians was an important element in this Medicare physician P4P demonstration project.


Laboratory Corporation of America named Don Hardison to be Executive Vice President and Chief Operating Officer, effective September 4. Hardison was most recently President and CEO for EXACT Sciences Corporation of Marlborough, Massachusetts. He also served in executive positions with Siebel Systems, Inc., Quest Diagnostics Incorporated, and SmithKline Beecham Clinical Laboratories, Inc.

Dark Daily Update

dark_daily_logoHave you caught the latest e-briefings from DARK Daily? If so, then you’d know about.

…first news of the Congressional hearing on the Medicare Lab Competitive Bidding Demonstration Project, with plenty of well targeted criti- cisms for the draft outline of the bidding process.

You can get the free DARK Daily e-briefings by signing up at


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