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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New Point-of-Care Test and Monitor Devices Used by Chronically Ill Patients at Home

More sophistication and performance in new POCT and monitoring systems for home use

Efforts to increase patient home self-testing and monitoring continue to pay off. Two new products for point-of-care (POC) health tests and patient home monitoring recently entered the marketplace. Both systems are devices that enable healthcare professionals to remotely monitor patients with chronic illnesses.

Separately, UK-based The Jaltek Group and Sweden-based Ericsson each introduced wireless monitoring systems worn by patients at home or in healthcare facilities. These systems improve patients’ quality of life by continuously monitoring their vital signs while allowing free movement. These devices also avoid the need for frequent trips to the doctor and may lower health care costs.

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Boston’s Caritas Christi Health Sells its Lab Outreach Business, Forms Alliance with Quest Diagnostics

It’s the second acquisition of a hospital lab outreach program in past six days

Several days ago, a two-part deal was announced between Quest Diagnostics Incorporated (NYSE:DGX) and Caritas Christi Health Care of Boston, Massachusetts. Caritas sold its clinical laboratory outreach business to Quest Diagnostics and both parties formed a “strategic alliance” going forward that centers upon laboratory testing and informatics integration. Caritas will continue to own and manage the laboratories in its six hospitals.

This is the second sale of a hospital laboratory outreach business in the past two weeks. On August 12, Sonic Healthcare (SYD:SHL) acquired Piedmont Medical Laboratories (PML) of Winchester, Virginia. PML was owned by Valley Health, an eight-hospital health system. (See Dark Daily, ‘Sonic Healthcare’s Latest Lab Buying Spree Nets Two U.S. Labs for $20 Million”, August 13, 2009.)
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Drive on to Motivate Hospitals to Prevent Avoidable Readmissions

One approach is to bundle payments to hospitals, physicians, labs, and other providers

Momentum is building around a new effort to drive down existing rates of hospital readmissions. Different reimbursement proposals to encourage hospitals and physicians to reduce current readmission rates will likely also change the reimbursement status quo for laboratory testing. For example, bundling Part A and Part B payments may be one approach.

Experts increasingly believe one game changer in lowering healthcare costs and improving outcomes is avoidable hospital readmissions. One in five Medicare patients returns to the hospital within 30 days. Overall, readmissions cost Medicare an estimated $17 billion yearly. Of this total, about $12 billion are believed to be avoidable cases

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Comparative Effectiveness: It’s Here! It’s Now! And It’s Funded to the Tune of $1.1 Billion!

Effort will identify which clinical procedures actually benefit patients—and are cost-effective

“Comparative effectiveness research (CER)” is likely to be one method that healthcare reformers use to establish reimbursement for different medical technologies and treatments. This will apply equally to clinical laboratory testing and pathology professional services as well as other medical procedures.

There is a compelling reason why comparative effectiveness is likely to happen on this turn of the healthcare reform wheel. Congress put teeth into the comparative effectiveness movement earlier this year when it provided $1.1 billion to support the effort in the American Recovery and Reinvestment Act of 2009.

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UnitedHealth Offers Medicare 15 Ways to Save $540 Billion, While Improving Care Quality

List of recommendations based on UnitedHealth’s extensive database and experience

Every sector of the healthcare industry is offering both Congress and the Center for Medicare & Medicaid Services (CMS) advice on how to reform the system to improve quality of care, while reducing costs. Too often, the search for ways to save money that can be redirected to covering uninsured is a game of taking money from one existing health service and shifting it to another.

Recently UnitedHealth Group (NYSE:UNH) stepped into this debate over how to save money. In important ways, it is better positioned to provide this advice than most other entities. For example, UnitedHealth Group is the nation’s largest insurer in terms of revenue. UNH funds and organizes care for 70 million Americans. It arranges $115 billion in health care services provided by 5,000 hospitals and 650,000 physicians nationwide. Because of this, UNH’s Center for Modernization and Reform has collected more data on clinical services provided and resulting healthcare outcomes than anyone else.
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