Clinical Laboratory Testing Volume 2: Business Strategies
Clinical laboratory testing is generally categorized as either of two general areas--clinical testing and anatomical pathology testing. Clinical and anatomical pathology procedures are frequently ordered as part of regular physician office visits and hospital admissions in connection with the diagnosis and treatment of illnesses. As such, clinical laboratory analysis is one of the most important sections of medical care.
The purpose of this report is to describe the specific segments of the clinical laboratory analysis business. The emphasis in this review is on those companies that are actively developing and marketing laboratory data for the clinical setting, including hospitals, independent labs, physician\'s offices and miscellaneous clinics. This study concentrates on the clinical laboratory industry in the U.S. It defines the dollar volume of sales in each major market and analyzes the factors that influence the size and the growth of the individual market segments. The study surveys some of the primary companies known to be marketing clinical laboratory data into the market. Each company is discussed in depth with a section on the history of the company, the product line, business and marketing analysis, and a subjective commentary of the position of the company in its market.
The report attempts to answer the questions:
- What companies are the key players?
- What are the opportunities in clinical laboratory testing?
- What is happening with the information revolution?• What are the development trends?
- Where are the new market growth areas?
This examination reviews the market for clinical laboratory data used in clinical practice. It defines the dollar volume of sales in each major market and analyzes the factors that influence the size and the growth of the individual market segments. The report details market sizes and growth rates for the U.S. and world markets. The study surveys some of the primary companies known to be marketing clinical laboratory data into the market. Each company is discussed in depth with a section on the history of the company, the product line, business and marketing analysis, and a subjective commentary of the position of the company in its market.
Unique benefits of this report are:
- In-depth analysis of the major sectors of the clinical laboratory business sector, their size, growth rates and major drivers.
- Presentation of some of the emerging business practices, elucidating the potential areas that could gain traction in this market.
- Analysis of the partnerships and alliances the various key sector players have forged, as well as describing financings of these market participants, giving insight into potential market collaborations.
- Examination of new business methods for clinical laboratories to identify lead positions and potential future growth areas.
- The reader will gain an understanding of key areas of the clinical laboratory testing business.
- New ways to adapt technology innovations and create new revenue streams.
- Sales and marketing strategies that will improve net income
- Which diagnostic tests are emerging as high profit products.
- Transition to a consumer-based lab model.
- Financial underpinnings of entrepreneurial labs
- Networking opportunities.
- Insights into the boomer emerging market and their growing expenditures on healthcare.
- Increased merger and acquisition (M&A) activity.
- Shift to preventative medicine.
- Point of care testing
- Elements of personalized medicine, genetic testing and pharmacogenomics.
Table of Contents
- 1. Overview5
- 1.1Objectives of the Report5
- 1.2Methodology6
- 1.3Scope of the Report7
- 1.4Executive Summary8
- 2.IVD Clinical Laboratory Market10
- 2.1Introduction10
- 2.2Key Players for Independent Clinical Labs11
- 2.3Reimbursement Pressure11
- 2.4Medicare Part B Spending Trends13
- 2.5Cost of Billing and Average Receipts for Commercial Labs15
- 2.6Hospital Outreach Programs16
- 2.7Criteria for Selection of Lab Services20
- 3.The Clinical Laboratory Testing Market21
- 3.1U.S. Market21
- 3.1.1Hospital-based Clinical Laboratories23
- 3.1.2Commercial Clinical Laboratory Testing23
- 3.1.3Physician Office Laboratories (POLs)24
- 3.2Clinical Lab Testing Key Players29
- 3.2.1Commercial Clinical Labs29
- 3.2.2Hospital Lab Collaborative Ventures30
- 3.2.3Specialty Labs31
- 3.3Revenue and Reimbursement32
- 3.4Outlook for Clinical Laboratory Testing35
- 3.4.1Long-Term Changes35
- 3.4.2Market Drivers36
- 3.4.3The Limits to Growth37
- 3.4.4Key Technologies37
- 3.4.5Conclusion38
- 3.1U.S. Market21
- 4.Hot Sectors in the Clinical Lab Testing Market39
- 4.1Workplace Drugs-of-Abuse Testing39
- 4.2Clinical Toxicology39
- 4.3 Clinical Testing for the Pharmaceutical Industry40
- 4.4Heavy Metal, Trace Element, and Solvent Analyses40
- 4.5Diabetes (Glucose) Testing40
- 4.6Molecular Diagnostic Testing40
- 4.7Cardiac Markers41
- 4.8Blood Bank Screening41
- 4.9Genetic Testing41
- 4.10Predictive Medicine Testing42
- 4.11Personalized Medicine44
- 4.12Cancer Testing44
- 4.13Cell Based Cancer Testing45
- 4.14Monitoring Technologies47
- 4.15Anatomic Pathology48
- 5.Important Technology Trends49
- 5.1Technology Platform Innovations in Point-of-Care Testing49
- 5.2The New Paradigm49
- 5.3Consolidated Workstations49
- 5.4Automation in the Laboratory51
- 5.5Laboratory Information Systems52
- 5.6New User-friendly Interface52
- 5.7Data-Management Issues53
- 5.7.1Wireless LANs53
- 5.7.2Data and Workflow Management Systems54
- 5.7.3Beckman Central Command54
- 5.7.4 Clinical IT More Widely Available in Physician Practices55
- 5.7.5 Physician Electronic Health Records (EHRs)56
- 5.7.6 Specimen Tracking and Processing56
- 6.Business Trends in the Clinical Laboratory Analyzer Sector57
- 6.1Key Developments57
- 6.2Sector Consolidation57
- 6.3Acquisition Pricing58
- 6.4A Closer Look at Recent Lab Deals59
- 6.5Acquisition, License Agreements, Internal Development and Partnerships60
- 6.6Merger, Acquisition, Financing and Partnering Activities in the Clinical Lab Industry61
- 6.7Comparison of Quest and LabCorp65
- 6.7.1Acquisitions65
- 6.7.2Quest\'s Growth, 2000-200665
- 6.7.3Laboratory Corporation of America66
- 6.7.4LabCorp\'s Growth, 2000-200666
- 6.7.5Competitive Advantages at Quest and LabCorp67
- 6.7.6National Managed Care Contracts67
- 6.7.7Billing and Collection Management68
- 6.7.8Lower Reagent and Supply Costs68
- 6.7.9Esoteric Testing Capabilities68
- 6.7.10Ability to Invest in Web-Based Connectivity Solutions68
- 6.7.11Competitive Disadvantages of Quest and LabCorp68
- 6.7.12Difficulties with Turnaround Times and Stat Services69
- 6.7.13Physician-Laboratory Communication69
- 6.7.14Specimen Pickup Scheduling Inflexibility69
- 6.8Regulation of Clinical Laboratory Operations70
- 6.8.1CLIA and State Regulations70
- 6.8.2Drug Testing70
- 6.8.3Controlled Substances71
- 6.8.4Medical Waste, Hazardous Waste and Radioactive Materials71
- 6.8.5FDA71
- 6.8.6Occupational Safety71
- 6.8.7Specimen Transportation71
- 6.8.8Corporate Practice of Medicine71
- 6.9Hospital Outreach Programs72
- 6.10Supply Chain and GPO Contracting72
- 6.11Specialty Labs72
- 6.12Expansion of Hospital-Based Labs and Hospital Outreach Programs73
- 6.13Managed Care73
- 7.Company Profiles74
- 7.1ACM Medical Laboratory74
- 7.2American Esoteric Laboratories (Sonic Healthcare)74
- 7.3American Pathology Partners74
- 7.4AmeriPath (Quest)75
- 7.5ARUP Laboratories75
- 7.6Athena Diagnostics76
- 7.7Aurora Diagnostics76
- 7.8Bio-Reference Laboratories, Inc.76
- 7.9BioTech Labs77
- 7.10CBLPath77
- 7.11Centrex Clinical Laboratories77
- 7.12Clarient, Inc.77
- 7.13Clinical Laboratories of Hawaii (Sonic Healthcare)78
- 7.14Clinical Reference Laboratory78
- 7.15Clongen Laboratories78
- 7.16CompuNet Clinical Laboratories78
- 7.17Diagnostic Systems Laboratories79
- 7.18Enzo Biochem, Inc.79
- 7.19Esoterix79
- 7.20Focus Diagnostics80
- 7.21Fresenius Medical Care AG & Co. KGaA80
- 7.22Geneva Laboratories81
- 7.23Genomic Health, Inc.81
- 7.24Genzyme82
- 7.25IBT Laboratories83
- 7.26Integrated Regional Laboratories (IRL)84
- 7.27LabCorp84
- 7.28MDS Diagnostic Services85
- 7.29MEDTOX Scientific, Inc.86
- 7.30Meriter Health Services86
- 7.31Mid America Clinical Laboratories (MACL)86
- 7.32Monogram Biosciences, Inc.86
- 7.33Myriad Genetics, Inc.87
- 7.34National Jewish Medical and Research Center87
- 7.35Parkway Clinical Laboratories88
- 7.36Pathology Associates Medical Laboratories (PAML)88
- 7.37Psychemedics Corporation88
- 7.38Quest Diagnostics Incorporated88
- 7.39RDL Reference Laboratory89
- 7.40Satellite Laboratory Services89
- 7.41Spectrum Laboratory Network89
- 7.42Sonic Healthcare90
- 8.Clinical Laboratory Testing Sector Trends and Forecasts91
- 8.1Home Care Analysis91
- 8.2Non-Traditional Collection for Laboratory Testing91
- 8.3New Systems for Critical-Care and Near-Patient Testing91
- 8.4Shift to Preventative Medicine91
- 8.5Mergers of Diagnostic Companies91
- 8.6Information Management Advances91
- 8.7Test Ordering Patterns91
- 8.8Patient Satisfaction91
- 8.9Move Away from Central Laboratory92
- 8.10Healthcare Cost Controls92
- 8.11Competition for Services92
- 8.12Drivers and Barriers of Clinical Laboratory Testing92
- 8.13Confluence of New Technology93
- 8.14New Trends in Clinical Laboratory Testing93
- 8.14.1Trends in Reimbursement Practices93
- 8.14.2Managed Care95
- 8.14.3Point of Care Testing96
- 8.14.4Satellite Facilities96
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