The shift from a traditional fee-for-service model to value-based healthcare requires a completely new approach for clinical labs to help clients improve their quality of care, enhance their workflow processes, and maintain viable revenue streams. 

In combination with the newly enacted PAMA reductions in reimbursement rates, it is more critical than ever for hospital, commercial, and outreach laboratories to partner with companies that have the proven competence to help them thrive in this new environment.

Your lab and care workflows depend on LIS efficiency. Scalability of the LIS determines your practice’s growth. Not to mention the ability of your LIS to capably interface with and support new technologies and new value-based Medicare Quality Payment Programs (QPPs) such as the MACRA Merit-based Incentive Payments System (MIPS). Fact is, the performance capability of your laboratory’s LIS goes way beyond its ability to participate in these new value-based care initiatives—the right LIS is critical to your practice to ensure success and increased revenue.

The good news is that thanks to advances in laboratory information management systems and cloud-based technology, as a provider you now have unprecedented opportunities to better manage the health of patients, promote adherence to treatments, as well as to reduce costs.

 

 

This FREE White Paper addresses:

• Overview of the new technologies and value-based programs: their objectives, along with potential impacts to your lab
• How the right LIS solution can help you potentially significantly reduce hospital readmission rates and experience favorable parameters reported to CMS
• How effecting these improvements can help bridge the gap between labs, physicians, and other healthcare providers
• How, in addition, you can achieve better efficiency, economics, and compliance with MACRA
• Why many labs are now turning to an LIS such as the NeTLIMS LabOS system, which helps streamline the collection of information in both the lab and care environments
• How working together with the right LIS vendor can serve to positively affect patient outcomes, facilitate reporting of quality measures, and maximize reimbursement for all services on specific patient care teams

 

Table of Contents: Introduction

Chapter 1: Medicare Quality Payment Programs and Value-based Care

Chapter 2: What Is the MACRA Quality Payment Program?

Chapter 3: What Is the MIPS Reimbursement Track?

Chapter 4: How Does MACRA/MIPS Impact Medical Laboratories Revenue?

Chapter 5: Using NeTLIMS LabOS LIS to Foster Healthy Outcomes

Chapter 6: LabOS Supports Value-based Care through Seamless Integration and Scalability

Chapter 7: LabWay App: NeTLIMS Mobile Product Delivers Value-based Care to Patients Even in Remote Locations

Chapter 8: LabOS, LabWay, and MIPS Points

Chapter 9: Achieving Goals for Value-Based Care Using LabOS and LabWay

Chapter 10: NeTLIMS LabOS and LabWay Define Value-based Care

Chapter 11: How Point-of-Care Telehealth Solutions Reduce Hospital Readmissions

Chapter 12: How Do Digital Therapeutics Benefit Medical Laboratories?

Chapter 13: Telehealth and Chronic Disease Management

Chapter 14: NeTLIMS LabWay and Care Trek

 

Conclusion Potential Savings and Revenue Increase A quality LIS vendor should define the way technology assists in maintaining a patient’s overall health and happiness, and thrive on delivering accurate results in the fastest time possible. This is so that providers, medical staff, and laboratories can improve their work processes in the delivery of patient care which are, of course, objectives which in turn provide revenue enhancements for labs. This FREE white paper can help inform your LIS decision-making. Download your FREE copy of “The Path to More Revenue: Cloud-Based LIMS, Mobile Apps, and Point-of-Care Telehealth.”

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Cloud-Based Software Reporting of PGx for Hospitals, Health Systems and Clinical Laboratories

Although the value of PGx testing is abundantly clear, it does present a number of challenges to physicians, clinical diagnostic laboratories, and healthcare institutions. A primary challenge is the difficulty of analyzing the complex amount of information involved in PGx testing and comparing it to the drugs the patient is being prescribed—and then turning that information into actionable intelligence that a busy physician can use to drive good medical care, in a cost-effective, efficient and reliable manner. This FREE downloadable White Paper discusses practical ways in which healthcare providers can hurdle these, and other obstacles, and will provide you with a detailed discussion regarding the importance of PGx testing in today’s healthcare environment. After reviewing it, you will possess a greater understanding of the obstacles physicians, laboratories and hospitals face when launching a pharmacogenomics program, how PGx testing can be used to drive patient care, and the important role cloud-based software can play in making PGx testing a practical and cost-effective solution.

 

This White Paper specifically addresses:

• The ways in which pharmacogenomics can lead to an ultimate overall decrease in healthcare costs
• Myriad benefits that pharmacogenomics testing can provide patients
• How numerous studies support the clinical usefulness of PGx testing
• Various barriers to entry into the pharmacogenomic testing market
• Outsourcing as a solution to making PGx testing a viable option for laboratories
• The many advantages to a service that specializes in PGx interpretation
• Today’s status of genomic testing in the lab market, and what the future may hold

  

Table of Contents

Introduction:  An Overview of Pharmacogenomic Testing and Clinical Services

Chapter 1:  PGx, Healthcare Reform, and Improving Patient Outcomes

Chapter 2:  Obstacles to Overcome When Launching a PGx Program

Chapter 3:  Using PGx to Enhance Clinical Utility and Patient Outcomes

Chapter 4:  Understanding the Role of Cloud-Based Software for PGx Reporting

Conclusion:  The Future   

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In an increasingly competitive healthcare landscape, laboratories must vie for a share of the nearly 6.1 billion clinical lab tests performed annually in the United States. As independent and hospital-based medical laboratories navigate against the headwinds of shrinking reimbursement levels, it is critical for your laboratory to strengthen relationships with current clientele and grow your client base.

Indeed—providing superior, consistent service is essential to thriving in today’s healthcare environment, but often easier said than done. How can your laboratory overcome obstacles standing in the way of exceeding client expectations, while reducing costs and increasing revenue? The Dark Report is pleased to present this FREE White Paper, offering high-performance labs steps they can implement to take control of client relationships and optimize overall performance. This White Paper also provides real-world case studies on how leading healthcare organizations have used this information to reduce costs, and gain a competitive edge in their markets.

This FREE White Paper addresses these how-to’s:

• Replace data silos with real-time intelligence to better address client needs and deliver personalized service
• Equip staff with an effective framework for accountability, communication, and collaboration
• Place Key Performance Indicators (KPIs) front and center, in order to reduce lost time, revenue, and opportunities
• Achieve stronger retention rates and increased growth by creating a more transparent culture
• Improve insight into critical accounts, in order to recognize downward trends in ample time to take proactive action
• Resolve client issues quickly, thus freeing up staff to discover unmet needs that can translate to additional revenue
• Expediently access and translate data into meaningful and actionable insights to deliver more value and build client relationships
• Create a comprehensive snapshot of appropriate utilization practices, yielding huge savings potential and alleviating reimbursement concerns
• Provide physician clients with the knowledge necessary to order the right tests and panels at the right time, resulting in a superior standard of patient care

Table of Contents:

Executive Summary 

Chapter 1: Eliminate Disparate Data Silos

Chapter 2: Reverse Delayed Issue Tracking

Chapter 3: Optimize Real-time Utilization Insight

Summary

A monumental shift is under way within the medical laboratory industry. Given today’s healthcare landscape, accurate testing is no longer enough for labs to remain competitive—fierce competition, falling reimbursement rates, and new quality-based care mandates make excellence in client service and long-term, profitable relationships essential to a laboratory’s survival.

If you are a laboratory manager or executive, this White Paper will provide the essential information you need for your lab to achieve the highest level of performance, generate and maintain strong, reliable client relations, and deliver superior, consistent service that bolsters relationships across the continuum of care.

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The Dark Report is pleased to offer this FREE White Paper providing you with a detailed discussion on the considerations of investing in a best-of-breed anatomic pathology-specific laboratory information system, and the reasons why even a solid enterprise-wide EHR and/or LIS solution may be insufficient for the complexities of your anatomic pathology (AP) laboratory and its distinct needs in terms of workflow, data mining, imaging and results formats.

The U.S. healthcare system is undergoing unprecedented change due to major healthcare reform initiatives, accompanied by dramatic new capabilities in health information technology (HIT). Clinical diagnostic laboratories, anatomic pathology laboratories, hospitals and healthcare systems now need, or are being required, to implement HIT to leverage health data capabilities, streamline workflow, improve efficiency, and increase competitiveness and cost effectiveness.

It is expected that healthcare institution administrators must evaluate the overall HIT requirements of the enterprise, but they also should take into consideration the HIT needs of the individual departments and laboratories of the institution, and how those needs jibe with the requirements of the institution’s clients.

Although enterprise-wide EHRs may provide an LIS module sufficient for the needs of the general clinical diagnostic laboratory, these same EHRs often do not meet the discrete needs of individual departments, such as AP laboratories. A potential solution to this challenge is to invest in a best-of-breed anatomic pathology-specific laboratory information system, which allows the enterprise to not only work effectively with an institution-wide EHR system, but also serve the needs of the individual laboratories and departments.

This FREE White Paper specifically addresses:

• Differences between enterprise-wide EHR systems and general lab information systems, and anatomic pathology-specific systems
• Challenges involved in selecting either or both an enterprise-wide health information system and a purpose-specific laboratory information system
• Evaluating the pathology LIS as a cornerstone of your AP lab’s growth strategy, and using gap analysis to determine the best approach for your health system and laboratory
• Hidden traps associated with enterprise-wide and limited-function pathology LIS products
• Pros and cons of utilizing a cloud-based APLIS versus a locally installed APLIS, with the option of a hybrid system
• Essential elements of a best-of-breed anatomic pathology LIS, plus EHR vendors who recognize the importance of such a system, and why
• Case studies: How four anatomic pathology laboratories have successfully utilized a best-of-breed anatomic pathology-specific laboratory system

Table of Contents

Chapter 1:
Essential Elements of an Anatomic Pathology LIS

Chapter 2:
Understanding the Hidden Traps Associated with Enterprise-Wide and Limited-Function Pathology LIS Products

Chapter 3:
To Cloud or Not To Cloud: On-Site Pathology LIS Vs. Remote-Host LIS

Chapter 4:
The Pathology LIS as a Cornerstone of Your AP Lab’s Growth Strategy

Chapter 5:
EHR Vendors Recognize the Importance of a Best-of-Breed APLIS

Chapter 6:
Case Studies

To better assimilate the challenges of selecting either or both an enterprise-wide health information system and a purpose-specific laboratory information system, and how augmenting an enterprise-wide HIT system with a best-of-breed APLIS can result in improved quality, increased efficiency, and enhanced patient care.

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The ultimate goal of any commercial venture is to increase profitability. Significantly increasing overall profitability frequently requires substantial changes to a business (e.g., mergers/ acquisitions, in-licensing or developing new products, or divestiture of unprofitable business units). Building on earlier white papers in the CEO’s Guide series, this white paper will look at relatively benign changes that clinical laboratory management can undertake. Although less dramatic than other options, they can still result in a doubling of lab profitability.

Before zeroing in on specific measures to increase profitability, let’s recap some of the forces buffeting the medical diagnostic industry (more details can be found in a previous Dark Report White Paper, “A CEO’s Guide to Next Generation Revenue Cycle Management”. Many of these changes, while external, have profound impacts on the profitability of laboratories and for the most part are outside of the control of the lab’s management team.

The Dark Report is happy to offer our readers a chance to download our recently published FREE White Paper “A CEO’s Guide to Doubling Profitability: Using Technology to Reduce Back-Office Costs” at absolutely no charge. This report will address these issues above, provide solutions, and show you your lab could potentially double profitability with relatively benign changes.

Among other topics, this FREE White Paper specifically addresses:

1. Reimbursement Models and Amounts
2. Evolving Technologies
3. Next Generation RCM Solutions… and much more

For more about closing the medical data gap in your lab, please CLICK HERE.

Table of Contents

Introduction — Page 3

Chapter 1: Situation Recap — Page 4

Chapter 2:

• Profitability — Page 8
• Revenue — Page 9
• Costs — Page 8

Chapter 3:

• Specific Back-Office Cost Centers  — Page 11
• Processing Claims — Page 11
• Eligibility Checking — Page 15
• Patient Service — Page 18
• Client Services — Page 20
  
• Internal IT/Data Group — Page 21
  
• Is a Measureable, Avoidable Loss the Same as a Cost? — Page 23
  

Chapter 4:

• Economies of Scale — Page 25
• Purchasing Vendor Services — Page 25
• Information Technology (IT) Costs — Page 26
• Knowledge Costs — Page 27

Summary — Page 28

Conclusion — Page 30

Appendices

A-1 About the Authors — Page 36

A-2 About XIFIN — Page 38

A-3 About DARK Daily — Page 39

A-4 About The Dark Intelligence Group, Inc., and THE DARK REPORT — Page 40

A-5 About the Executive War College on Laboratory and Pathology Management — Page 41

A-6 About the Editor — Page 42

Terms of Use — Page 36

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Macroeconomic pressure, increased governance, organizational changes, and technological advances are driving pervasive and lasting changes in the fabric of the healthcare system. Because diagnostic services influence the majority of healthcare decisions, changes to healthcare are magnified in the diagnostic services segment. Failure to aggressively adapt to this dynamic environment can easily imperil diagnostic service providers.

The system of record and the lifeblood of diagnostic service providers is the Revenue Cycle Management (RCM) system. A dramatic rethinking of the role of RCM systems is critical to ensuring service providers are able to successfully compete in the marketplace.

The Dark Report is happy to offer our readers a chance to download our recently published FREE White Paper “A CEO’s Guide to Next Generation Revenue Cycle Management: What Service Providers Need to Know to Survive the Changing Diagnostic Healthcare Environment” at absolutely no charge. This free download will provide readers with a detailed explanation on the next generation of RCM.

Among other topics, this FREE White Paper specifically addresses:

1. How Changes Impact Diagnostic Healthcare
2. Next Generation RCM
3. How the Diagnostic Market Reacted to the Diagnostic Change
4. Costs of Not Changing

For more about surviving the changing diagnostic environment, please CLICK HERE

Table of Contents

Introduction — Page 3

Chapter 1. The Perfect Storm of Healthcare Change — Page 4

-Macroeconomic Pressure — Page 4

-Governance — Page 5

-Organizational Changes — Page 7

-Technological Changes — Page 9

-How Changes Impact Diagnostic Healthcare — Page 11

Chapter 2. Diagnostic Market Reaction to Changes — Page 14

-Interoperable — Page 14

-Informative — Page 15

-Intelligent — Page 15

 -Intantaneous — Page 16

Chapter 3. What Does this Mean for Your Business?— Page 17

-Clean Claims Up Front — Page 17

-Costs of Not Changing — Page 18

Chapter 4. Options for Change— Page 20

-Purchase vs. Patch — Page 20

-Interoperable vs. Integrated — Page 20

-SaaS vs. ASP — Page 21

-Partner vs. Vendor — Page 22

Conclusion — Page 24

References — Page 25

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