Gap Insurance Trend Protects Employees from Crippling Out-of-Pocket Costs and Offers Clinical Laboratories New Method to Receive Payments

Medical laboratory and pathology groups could benefit from trend by receiving payments for testing services from secondary payer rather than directly from patient As high-deductible health plans (HDHPs) become the norm for more Americans, gap insurance is being touted as an innovative way to protect consumers from crippling healthcare costs. This added insurance protection is proving attractive to a growing number of patients with HDHPs. Use of gap plans by more patients also could benefit...

CPC+ Continues CMS’ Efforts to Establish Medical Homes

The trend toward alternative payment systems continues as CMS announces the Comprehensive Primary Care Plus (CPC+) model Efforts by Medicare officials to move providers away from fee-for-service payments and onto other models of reimbursement continue to move forward. This is one of several goals for a new primary care program that Medicare is about to launch in coming months. Medical laboratories and pathology groups might feel an impact from this new program the Centers for Medicare and...

Trend of Hospitals Re-entering the Health Insurance Market May Benefit Hospital Laboratories

As ACO movement gathers momentum, hospitals and health systems see opportunities in providing health insurance Hospitals and health systems are getting back into the health insurance business. Not only is this seen as an opportunity created by the development of accountable-care organizations (ACOs), but it may help the clinical laboratories of these same hospitals that serve office-based physicians in their communities. This trend is another result of the Obamacare legislation. Some hospital...

Physician Adoption of EHRs Accelerates, but Rural Providers Slow to Embrace EHRs

As larger numbers of physicians implement electronic health record (EHR) systems, clinical laboratories are faced with the task of building interfaces that connect their laboratory information systems (LIS) to those EHRs. Recent numbers indicate that hundreds of thousands of physicians are now enrolled in the federal HEHR incentive program.This puts medical laboratories and anatomic pathology groups squarely in the midst of the drive to encourage physicians to both implement an EHR in their clinical practice and use that EHR in ways that meet “Meaningful Use” requirements.

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