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The national market for Medicare clinical laboratory testing: implications for payment reform.
- Source :
-
Medicare & medicaid research review [Medicare Medicaid Res Rev] 2012 Jun 22; Vol. 2 (2). Date of Electronic Publication: 2012 Jun 22 (Print Publication: 2012). - Publication Year :
- 2012
-
Abstract
- Current Medicare payment policy for outpatient laboratory services is outdated. Future reforms, such as competitive bidding, should consider the characteristics of the laboratory market. To inform payment policy, we analyzed the structure of the national market for Medicare Part B clinical laboratory testing, using a 5-percent sample of 2006 Medicare claims data. The independent laboratory market is dominated by two firms--Quest Diagnostics and Laboratory Corporation of America. The hospital outreach market is not as concentrated as the independent laboratory market. Two subgroups of Medicare beneficiaries, those with end-stage renal disease and those residing in nursing homes, are each served in separate laboratory markets. Despite the concentrated independent laboratory market structure, national competitive bidding for non-patient laboratory tests could result in cost savings for Medicare.
- Subjects :
- Clinical Laboratory Services economics
Clinical Laboratory Services statistics & numerical data
Clinical Laboratory Techniques economics
Clinical Laboratory Techniques statistics & numerical data
Cost Savings economics
Cost Savings statistics & numerical data
Health Care Reform economics
Health Care Reform methods
Health Care Reform organization & administration
Health Care Sector economics
Humans
Medicare Part B economics
Reimbursement Mechanisms economics
United States
Clinical Laboratory Services organization & administration
Health Care Sector organization & administration
Medicare Part B organization & administration
Reimbursement Mechanisms organization & administration
Subjects
Details
- Language :
- English
- ISSN :
- 2159-0354
- Volume :
- 2
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Medicare & medicaid research review
- Publication Type :
- Academic Journal
- Accession number :
- 24800143
- Full Text :
- https://doi.org/10.5600/mmrr.002.02.a04