News

  • New Independent Study Shows Medicare Receives Lower Rates for Clinical Laboratory Services

    December 04, 2013
    Washington, D.C. — Today Avalere Health, a private data analysis firm, released a study that refutes past claims that commercial plans pay lower rates for lab services than Medicare. Instead, the study found that Medicare rates are almost always lower than average rates paid by private plans. Commissioned by the American Clinical Laboratory Association (ACLA), Avalere’s study is the most comprehensive comparison of privateContinue Reading »...
  • CMS Issues Medicare Physician Fee Schedule Without Finalizing Proposal Most Harmful to Independent Laboratories

    December 03, 2013
    On the day before Thanksgiving and a little over one month after the end of the government shutdown, the Centers for Medicare & Medicaid Services (“CMS”) published a rule finalizing revisions to payment policies under the Medicare Physician Fee Schedule (“MPFS”) and other revisions to Medicare Part B for calendar year 2014. As we reported when CMS published the MPFS proposed rule, the changes proposed under the MPFS would have significantlyContinue Reading »...
  • Statement from the American Clinical Laboratory Association on Medicare Physician Fee Schedule Final Rule

    November 27, 2013
    Today the American Clinical Laboratory Association (ACLA) commends the Centers for Medicare & Medicaid Services (CMS) for not finalizing a proposal to slash Medicare payments for anatomic pathology services which diagnose breast, colon, prostate, skin, ovarian, leukemia and other cancers. The proposal, included in the CY2014 Physician Fee Schedule Proposed Rule published in July, would have capped Medicare payments to independent laboratories to HospitalContinue Reading »...
  • Labs say CMS penalties still too severe on ‘proficiency testing’

    November 26, 2013
    Clinical laboratories and hospitals and systems that own them say the CMS has failed to add enough nuance to the enforcement framework that protects its process for making sure that labs are proficient. In response to lobbying from the industry, Congress acted last year to give the CMS more discretion to determine when labs were intentionally undermining a system in which the CMS sendsContinue Reading »...
  • Comments on Proficiency Testing Referral Sanctions Proposed Rule

    November 15, 2013
    Ms. Marilyn Tavenner, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building 200 Independence Avenue SW Washington, DC 20201 RE: CMS-1443-P: Medicare Program; Prospective Payment System for Federally Qualified Health Centers; Changes to Contracting Policies for Rural Health Clinics; and Changes to Clinical Laboratory Improvement Amendments of 1988 Enforcement Actions for Proficiency Testing Referral;Continue Reading »...
  • Breast Cancer Patients Deserve Better: Policy Must Support Innovation

    October 31, 2013
    October is National Breast Cancer Awareness Month. During this time, those of us in the advocacy community take stock of the millions of lives that have been affected forever by this dreadful disease. Breast cancer ranks second as a cause of death in women. Each year, about 230,000 women, and more than 2,000 men, receive a diagnosis of invasive breast cancer. Cancer survivors, caregiversContinue Reading »...
  • Comments Regarding 2013 Final Gapfill Prices

    October 30, 2013
    Mr. Marc Hartstein, Director Hospital and Ambulatory Policy Group Center for Medicare Centers for Medicare and Medicaid Services 7500 Security Boulevard Baltimore, Maryland 21244 RE: Final 2013 Gapfill Payment Amounts for Molecular Pathology Tests Dear Marc, Please accept the comments of the American Clinical Laboratory Association (“ACLA”) on the final 2013 Gapfill Payment Amounts for Molecular Pathology Tests.1 ACLA is an association representing clinicalContinue Reading »...
  • Medicare ‘Fixes’ Are Penny-Wise, Pound-Foolish

    October 30, 2013
    Our leaders in Washington too often rely on short-term “fixes” for long-term problems that have plagued the nation’s Medicare program. Unfortunately, many of these changes may ultimately increase health care costs and hurt the quality of health care for Medicare beneficiaries. Clinical laboratory services have been on the chopping block, and may be again as Congress searches for “pay-fors” later this year. These innovative,Continue Reading »...
  • Comments on CY 2014 CMS Preliminary Payment Determinations

    October 25, 2013
    Mr. Glenn McGuirk Acting Director, Hospital and Ambulatory Policy Group Centers for Medicare & Medicaid Services Center for Medicare 7500 Security Boulevard Mail Stop C4-01-26 Baltimore, Maryland 21244 Re: Centers for Medicare and Medicaid Services Calendar Year 2014 New and Reconsidered Clinical Laboratory Fee Schedule Test Codes and Preliminary Payment Determinations Dear Mr. McGuirk: On behalf of the American Clinical Laboratory Association (“ACLA”), weContinue Reading »...
  • Bipartisan Group of Senators Urge Medicare Officials to Drop Proposal to Cut Payments for Anatomic Pathology Services

    October 18, 2013
    Washington, D.C. — The American Clinical Laboratory Association (ACLA) praises U.S. Senators Amy Klobuchar (D-MN) and Johnny Isakson (R-GA), and 38 of their colleagues for sending a letter this week urging Centers for Medicare & Medicaid Services (CMS) Administrator Marilyn Tavenner to reconsider cuts to Medicare payments for anatomic pathology services that diagnose breast, prostate, leukemia, and other cancers. Specifically, the letter argues thatContinue Reading »...