What are the recent trends in healthcare analytics?
Laboratory Analytics and Data Cost Containment
A November 2018 GAO report found that recent changes made by CMS to implement a 2014 law to establish a national fee schedule for laboratory services may result in hundreds of millions of dollars in increased payments because of its decision to use maximum, in lieu of average, payment rates as a baseline, leading to potentially ballooning costs to the program and taxpayers.
The report also found that Medicare changed the way it processed some laboratory tests and, as a result, has often paid the individual rate for panel tests that could have been paid at a lower, bundled rate. This failure to bundle lab tests could increase the cost to taxpayers by more than $10 billion through 2020, according to the GAO.
2 months ago