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Roger D. Klein, MD JD

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Medicare can save millions on lab tests by creating panel codes

Posted on July 7, 2019 by admin

In this Op-Ed I propose a fix for a strange artifact in Medicare’s new clinical laboratory fee-setting process. “PAMA instituted a ‘market-based’ clinical laboratory fee schedule, which is calculated from laboratory-reported private insurance payments for each test. The legislation lowered rates for 75 percent of tests, causing serious disruption and dislocation in the laboratory industry. As it turns out, these untoward effects may have been much pain for little to no gain. …” https://thehill.com/opinion/healthcare/451206-medicare-can-save-millions-on-lab-tests-by-creating-panel-codes

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