March 2008
While the nations largest insurance providers have secured long-term agreements with national reference laboratories, many smaller labs are finding themselves shut out of local and regional managed care contracts. In fact, preliminary results from a recent Washington G-2 Reports survey found that over 79% of respondents reported being excluded from these contracts. Pricing also continues to take a hit, with the current pricing of some contracts with independent laboratories estimated to range between 50% and 75% of Medicare.
To confront this new reality of the managed care contracting environment, labs need to employ new competitive strategiesin particular joining networks to leverage more contract negotiating powerindustry leaders advised at the recent LabCompete 2008, held February 6-8 in Tucson, Arizona.
| Overview of Current Contracts |
| Managed |
Members |
Lab |
| care plans |
(in millions) |
Contracts |
| Wellpoint |
34.9 |
LabCorp, Quest |
| UnitedHealthcare |
33.2 |
LabCorp |
| Aetna |
15.7 |
Quest |
| Humana |
11.3 |
LabCorp, Quest |
| Cigna |
9.8 |
LabCorp, Quest |
|