Compliance with New Federal EKRA Law Creates Uncertainties in How Clinical Laboratories Pay Commissions to Their Sales Teams

Vague language and last-minute additions to the federal SUPPORT Act of 2018 with its included EKRA provisions mean big changes to how clinical laboratories can legally compensate sales professionals for referrals Clinical laboratories may be at grave financial risk should they fail to properly comply with the Eliminating Kickbacks in Recovery Act of 2018 (EKRA) provision of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (H.R....

Sonic Healthcare’s iMorpheus Program Helps Clinical Laboratories Receive Financial Rewards through Medicare’s Shared Savings Program

When medical laboratories work with doctors to help patients with chronic diseases get prompt care, everyone wins, and labs increase revenue When clinical laboratories agree to share their patient data and encounter information with physicians engaged in population health management, they help improve the health of thousands of people, as well as secure financial rewards through participation in alternative payment models (APMs), such as the Medicare Shared Savings Program for accountable care...

VA Engages Private Sector Companies in Major Telehealth Initiative to Bring Critical Healthcare Services to Thousands of Veterans Living in Remote Areas

Walmart, T-Mobile, and Philips have partnered with the VA and will be providing key resources that could offer opportunities for local clinical laboratories In what may prove to be a useful innovation, the U.S. Department of Veterans Affairs (VA) is preparing a major expansion of its telehealth (aka, telemedicine) offerings. What adds interest to this effort is that veterans will be able to access telehealth services in such settings as selected posts run by the Veterans of Foreign Wars (VFW)...

What’s in the Name of a Clinical Laboratory Test? TRUU-Lab Initiative Strives to Make Test Names Easier for Doctors to Understand and Order

Different clinical labs use different names for the same medical laboratory test, causing confusion among doctors who order and interpret tests and adding risk to patient care Is there a common name for every unique medical laboratory test? Patients and consumers generally assume that to be so. But clinical pathologists, medical technologists, and other lab scientists know that different labs use different names for the same medical lab test and methodology. The lack of uniformity in how...

Does New Opioid Law Require Clinical Laboratories to Change How They Pay Sales Employees?

Recently enacted EKRA law prohibits payment activities that were legal under the previous Anti-Kickback Statute, confusing clinical laboratories and legal experts alike There is a relatively new law on the books that impacts clinical laboratories, and lab leaders tasked with ensuring compliance with federal statutes need to fully understand it because getting it wrong could have dire consequences. The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for...

PAMA Price Reporting Update: Insights to Help Prepare to Meet the Requirement

Prior (2018) price reporting cycle offers lessons that can help clinical laboratory benefit administrators and personnel take an informed approach to meeting the requirements of the Protecting Access to Medicare Act of 2014 (PAMA) With the PAMA Private Payor Price Reporting period under way, some clinical laboratories may be grappling with questions about the new requirements. Under PAMA, applicable labs must report private payer data on selected Clinical Diagnostic Laboratory Tests (CDLTs) to...