CMS Missed 96 Hospitals with Suspected HAI Reporting Due to Limited Use of Analytics, OIG Report Reveals

OIG suggests better use of analytics by CMS could prevent gaming of the system by providers; clinical laboratories can help through test utilization management technology It may come as a surprise to many hospital-based pathologists and clinical laboratory managers that the Centers for Medicare and Medicaid Services (CMS) has reason to suspect that some hospitals are “gaming” the system in how they report hospital-acquired infections (HAIs). In 2015, CMS implemented the Hospital-Acquired...

Clinical Pathology Laboratories Should Understand How Wellpoint Used ‘Capped-Pricing’ Strategy to Save CalPERS $5.5M on Surgery Costs

New strategy by employers and payers encourages patients to choose lower-cost providers, or pay the difference over the price cap Payers are teaming with employers to steer patients to lower cost providers. Their common goal is to reduce the cost of care without compromising the quality of care delivered to their beneficiaries. This trend may involve clinical laboratories and anatomic pathology groups, particularly where a lab is seen as a high-cost provider in its service area. There is...

Pathology Laboratory in an Ingestible Pill? Not Yet, But Maybe Sooner than You Think

Proteus Biomedical, Inc. prepares to launch a “smart pill” to remotely monitor how medication affects patients. If some experts are correct, it won’t take long to create ingestible devices that are capable of conducting clinical laboratory tests within the body. These devices would transmit the laboratory test results to physicians over the Internet by using wireless technology. As soon as 2011, Proteus Medical, Inc., of Redwood City, California, says it expects to introduce an ingestible...

Wall Street Journal Headline: “Staff Shortages in Labs May Put Patients at Risk”

Influenza Outbreak Calls Attention to Shortage of Medical Technologists, other lab staff It took the threat of an influenza pandemic recently to get at least one news reporter to realize the shortage of medical laboratory technicians has reached epidemic proportions. While the recent outbreak of A/H1N1 influenza turned out to be a dress rehearsal, it inspired Wall Street Journal (WSJ) reporter Laura Landro to focus on the critical role played by medical technologists, clinical laboratory...
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