News, Analysis, Trends, Management Innovations for
Clinical Laboratories and Pathology Groups

Hosted by Robert Michel

News, Analysis, Trends, Management Innovations for
Clinical Laboratories and Pathology Groups

Hosted by Robert Michel
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French Court of Auditors Call for 7.5% Cut in Medical Laboratory Fees to Help Balance the Nation’s Healthcare Budget

If enacted, this fee cut is predicted to cost medical laboratories €316M Annually and eliminate about 8,000 jobs in that nation

Clinical laboratories here in the United States are not alone in their struggle maintain quality as declining reimbursements from private and government health programs force cost-cutting measures. In France, medical laboratories have learned that they will soon see a sizeable cut in reimbursement paid to them for lab testing services.

This summer, France’s Cour des comptes (French Court of Auditors) called for cutting tariffs to medical laboratories by 7.5%, according to a report published by The Connexion.

Price Cuts Justified by Overutilization of Medical Laboratory Tests (more…)

Consumers Now Use Medical Cost Websites to Price Shop for Clinical Pathology Laboratory Tests and Other Medical Procedures

Price transparency expected to encourage competition among healthcare providers, including medical laboratories

Before consumers visit a clinical laboratory, they can now check the “fair” price of medical laboratory tests. New websites have sprung up that make it easy for consumers to find what experts consider to be fair market prices for each type of lab test, as well as for other medical procedures and healthcare services.

Pathologists should think of the well-known “Kelly Blue Book” that has been the price authority for prices of new and used automobiles for decades. These new medical price websites are easy to use and make it quick for a consumer to find “fair” prices for common clinical laboratory test and medical procedure.

These new web-based companies are organized to serve the needs of consumers who are enrolled in high-deductible health plans (HDHP). For an individual, an annual deductible can be as high as $2,500—and as much as $5,000 for a family. Thus, clinical laboratory managers should not be surprised that consumers are actively price-shopping before they visit their laboratory to have a specimen collected.
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Audio Conferences

(Speaker presentation slides, live digital audio and Q and A session included with your order)

HIPAA Form 5010 Implementation: Real-World Solutions to Ease the Transition from 4010 to 5010 and Avoid Reimbursement Delays

(January 18, 2012) Speakers: Lale White, Jackie Griffin and Matt Warner, XIFIN


How Proposed Code-Stack Changes Will Impact Palmetto GBA’s Handling of Molecular Diagnostic Tests and LDTs

(December 20, 2011) Speakers: Mike Barlow and Elaine Jeter, MD


Washington Puts Lab-Test Cost-Cutting on the Table for 2012: Devastating Fee Cuts Plus Other Congressional Proposals and How Your Lab Can Prevent Them

(October 26, 2011) Speakers: Peter Kazon and Alan Mertz


Meaningful Use: Phase 1 Lessons Learned and How to Prepare Your Lab for Phase 2 Requirements

(September 21, 2011) Speakers: Pat Wolfram and Robert Atlas


Achieving Financial Success with Hospital Laboratory Outreach: Six Proven Ways to Boost Net Revenue

(August 24, 2011) Speakers: Kathleen A. Murphy and Larry Siedlick


Prepare Your Lab for a Medicare RAC Audit: Essential Do’s and Don’ts to Reduce Compliance Risk and Avoid Penalties

(July 20, 2011) Speakers: Jane Pine Wood, Tom Rehwald


ACOs and Medical Homes: Preparing Your Lab for Dramatic Changes in How Physicians Use Clinical Laboratories

(June 23, 2011) Speakers: Brian R. Jackson, James M. Crawford


Anticipating the Disruption from HIPAA 5010 Forms and ICD-10: Essential Action Steps to Maintain Your Lab’s Cash Flow

(May 24, 2011) Speaker: Lale White


Managing Multiple Generations in Your Lab: Proven Methods to Motivate Gen X, Gen Y, and Baby Boomers in the Same Workplace

(April 20, 2011) Speaker: Jeff Smith


Negotiating RFPs: How to Get the Best Value for Your Laboratory

(March 23, 2011) Speakers: Molly Orluck, President, mollyorluck enterprises inc., Michele Pessa, President, JeNG Consulting


Managed-Care Contracting: How to Ensure the New Healthcare Reforms Won’t Lower Your Lab’s Health Plan Reimbursements

(February 17, 2011) Speaker: Michael Snyder,Vice President of Laboratory Management, Medical Spend Management Systems


Achieving Best Practices in Laboratory Operations and Workflow: How to Sustain Lean and Tear Down Silos in Your Lab

(January 20, 2011) Speaker: Pat Wolfram, – Ignis Systems Corporation, Ruth Johanson – Providence Health


Achieving Best Practices in Laboratory Operations and Workflow: How to Sustain Lean and Tear Down Silos in Your Lab

(December 15, 2010) Speaker: Patrick Maul and Robert Giles


How to Solve Your Lab’s Med-Tech Recruitment, Hiring, and Retention Problems Now!

(November 16, 2010) Speaker: Peggy McKee


How to Stay Legal in 2011: New Legal Issues and Regulatory Changes Affecting Clinical Laboratories and Pathology Groups

(October 19, 2010) Speakers: Richard Cooper, Jane Pine Wood, McDonald Hopkins


How Meaningful Use and EMR Adoption Will Reshape Your Lab’s Competitive Future-and Its Profitability

(September 28, 2010) Speakers: Kelly A. Feist, Robert Atlas, Pat Wolfram


Molecular Diagnostics for Community Hospital Labs: Hitting Clinical and Financial Home Runs in Infectious Disease and Oncology Testing

(August 25, 2010) Speakers: Frederick L. Kiechle, MD, Ph.D, Kathleen M Murphy, Ph.D, Gregory A. Hosler, MD, Ph.D


Why Health Insurers Want to Pre-Authorize Genetic Assays and Expensive Clinical Pathology

(July 13, 2010) Speakers: Matthew Zubiller, McKesson Corporation, Michael Tarwater, MuirLab


Protecting Your Laboratory’s Important Business Assets From Internal and External Threats: Key Developments in the Area of Trade Secret, Protection, Non-Competes, and Employee Handbooks

(June 24, 2010) Speakers: James J. Boutrous II and James J. Giszczak


Transfusion & Blood Management: Practical Advice on How to Save Blood, Save Dollars and Save Lives

(May 19, 2010) Speakers: Timothy Hannon MD, MBA and Marisa B. Marques, MD


How to Negotiate Part A Reimbursements Using a Performance-Based Approach

(April 21, 2010) Speakers: Robert H. Tessier, Saraswathi Nair, M.D.


Managed Care’s Most Significant New Trends in 2010 and Their Impact on Your Lab’s Contract Renewal Negotiations

(March 17, 2010) Speakers: Michael Snyder, Sam Merkouriou


The A-to-Z of Vitamin D: Why It’s Today’s Hottest Lab Test!

(February 24, 2010) Speaker: Dr. Bruce Hollis, PhD


New Opportunities for Your Lab’s LIS–EMR Interface: How to Profit From the “Big Wave” About to Hit Healthcare

(January 20, 2010) Speakers: Pat Wolfram, Ruth Johanson


Achieving World-Class Performance: New Ways Your Lab Can Use Lean Six Sigma to Stop Bad Outcomes and Boost Financial Performance

(December 17, 2009) Speakers: Leslie Sprick, M. Susan Stegall; Sprick, Stegall & Associates, LLC Vince D Mello (Moderator) President, D Mello LabMed Consultants


Succession Planning Essentials: Preparing Your Lab for the Coming Wave of Retiring Managers and Staff

(November 17, 2009) Speakers: Jeff Smith and Priscilla Cherry


New Legal Issues and Regulatory Changes and Their Potential Impact on Clinical Laboratories and Pathology Groups

(October 27, 2009) Speakers: Jane Pine Wood, Richard Cooper


Important New Managed Care Contracting Trends, Issues, and Opportunities for Clinical Laboratories and Pathology Groups

(September 17, 2009)


Pathology and Radiology’s Combined Future is Now at Kansas University: How Integrated Breast Cancer Diagnostics are Improving Patient Care

(August 19, 2009)


Laboratory Managers: How to Become A Better Coach and Create a More Productive Working Environment in Your Laboratory

(July 16, 2009)


Laboratory and Pathology Mergers and Acquisition Activity: How Recent Sales and The Current Economy Could Impact the Value of Your Lab

(June 16, 2009)


Sure-Fire Methods to Slash Your Laboratory’s Reference and Send-Out Testing Costs

(May 14, 2009)


How to Recruit and Retain the Best Med Techs

(April 16, 2009) Peggy McKee, PHC Consulting


Creating Patient Requisition Forms That Dramatically Increase Market Share and Profitability

(March 18, 2009)


How to Improve Pathologist Compensation and Productivity for You and Your Lab

(February 18, 2009)


Building Customized Laboratory Test Reports That Create Brand Awareness and Client Loyalty for Your Laboratory

(January 14, 2009)


Managed Care Lab Contracting: How To Negotiate The Best Pricing And Terms For Your Lab

(December 17, 2008)


How To Find And Eliminate All The Waste In Your Lab! Proven Techniques To Successfully Identify Waste In Your Laboratory—And Get Rid Of It For Good

(November 13, 2008)


Improving Lab Management Productivity: How To Evaluate Your Team And Stimulate Increased Performance And Profitability

(October 21, 2008)


How Hospitals And Health System Labs Can Profit From New Must-Have Molecular Tests And Technologies

(September 23, 2008)


Increase Your Lab Revenue With Better Billing & Coding: How To Collect More Money While Slashing Collection Costs

(August 26, 2008)


Laboratory and Pathology Mergers & Acquisitions: Must-Have Essentials To Learn Before You Sell or Buy A Lab

(July 30, 2008)


Using Your Lab’s Culture To Turbocharge Productivity & Profits: Changing Your Culture To Achieve Your Goals

(May 6, 2008)

Dark Daily in the News

vitamin D council
The Vitamin D Newsletter September 5, 2009

Vitamin D Studies of Interest

Vitamin D and H1N1 Swine Flu
So far, Swine flu, H1N1, has killed thirty-six children in U.S. and analysis of CDC data indicates Vitamin D deficient children at higher risk of death.

I’m not sure I can do this, watch our children die this winter from what may be a preventable disease, influenza, I’m not sure I’m strong enough. A few minutes ago, the CDC issued a report on Swine flu deaths among children; thirty-six U.S. children dead so far this season and the season hasn’t started yet. The dead children were much more likely to be Vitamin D deficient; but the CDC did not realize they discovered this. However, anyone familiar with the Vitamin D literature will recognize it.

The clue: almost two-thirds of our dead children had epilepsy, cerebral palsy, or other neurodevelopmental conditions like mental retardation. What do we know of these neurological conditions? All are associated with childhood Vitamin D deficiency; I won’t bore you with the references but anyone who has ever cared for these children know it; anyone who has studied these diseases on Medline knows it; anyone who has one of these kids know it; these kids just don’t go in the sun very much. If they do live at home and go outside, parents use sunblock because the child is so vulnerable, never robust. In addition to sunlight deprivation, many of these kids take anticonvulsant drugs, which lower Vitamin D levels.

Second National Journalism Award Goes to The Dark Report and Robert Michel

Best Investigative Reporting honors earned for story about problems with Vitamin D testing

Top honors in a prestigious national journalism competition were recently awarded to our sister publication, The Dark Report. Editor-In-Chief Robert L. Michel traveled to Washington, DC, to accept the first place award for “Best Investigative Reporting.”

The occasion was the 33rd annual conference of the Specialized Information Publishers Association (SIPA). Handing Editor Robert Michel his first place award was Nora O’Donnell, News Anchor and Political Reporter for NBC News and MSNBC. (more…)

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