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<p>[QUOTE="anonymous, post: 5906172"]None of these are really scams perse. The above found a loophole, and used the loophole. Instead of the insurance companies recognizing and trying to close the loophole, they will make the above individual lives hell. This loophole exists as most hospitals are unable to read many pathology samples, and hence use outside labs to run these samples for then. Examples would include cancer pathology samples etc.</p><p><br /></p><p>Btw, the above pathology samples cost just as much as a Pgx test. The difference is that the pathology samples are run by big name politically affiliated academic institutions (rhymes with Yayo). </p><p><br /></p><p>Also, many of the same people/institutions that have a hand in insurance exchanges have there hand dipped heavily in the big lab world. </p><p><br /></p><p>Then you have independent labs, that also want to profit like the big players, but for them the rules are much different. They are not politically connected and hence consequences are different. So these labs are charged with insurance fraud and owners/reps/doctors are indicted while the big labs take all the business. </p><p><br /></p><p>Same thing happened with compound pharmacies when they started messing with big pharma, and the same thing is happening to these labs. My advice is to get out and wait a few years for the system to self implode. Which it will soon. Anthem and united are both pulling out of the exchanges. Doctors are leaving Medicare and the Managed Care model. I think is 2 years, the tune will be much different.[/QUOTE]</p><p><br /></p>
[QUOTE="anonymous, post: 5906172"]None of these are really scams perse. The above found a loophole, and used the loophole. Instead of the insurance companies recognizing and trying to close the loophole, they will make the above individual lives hell. This loophole exists as most hospitals are unable to read many pathology samples, and hence use outside labs to run these samples for then. Examples would include cancer pathology samples etc. Btw, the above pathology samples cost just as much as a Pgx test. The difference is that the pathology samples are run by big name politically affiliated academic institutions (rhymes with Yayo). Also, many of the same people/institutions that have a hand in insurance exchanges have there hand dipped heavily in the big lab world. Then you have independent labs, that also want to profit like the big players, but for them the rules are much different. They are not politically connected and hence consequences are different. So these labs are charged with insurance fraud and owners/reps/doctors are indicted while the big labs take all the business. Same thing happened with compound pharmacies when they started messing with big pharma, and the same thing is happening to these labs. My advice is to get out and wait a few years for the system to self implode. Which it will soon. Anthem and united are both pulling out of the exchanges. Doctors are leaving Medicare and the Managed Care model. I think is 2 years, the tune will be much different.[/QUOTE]
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Cafepharma Message Boards | Pharma Sales, Device Sales, Lab Sales
Home
Forums
>
Laboratory/Diagnostic Sales
>
Laboratory/Diagnostic Sales General Discussion
>
List of Labs with hospital billing schemes
>
Cafepharma Message Boards | Pharma Sales, Device Sales, Lab Sales
Home
Forums
>
Laboratory/Diagnostic Sales
>
Laboratory/Diagnostic Sales General Discussion
>
List of Labs with hospital billing schemes
>