Tucked inside H.R. 4302, the Medicare Doc-Fix legislation signed by President Obama, is a new push by the government to collect from clinical diagnostic laboratories their private insurance payment rates for tests, so Medicare can use the data when establishing its own payment rates.
Sec. 216 of the bill authorizes the reporting of private insurance reimbursement rates for tests at clinical diagnostic labs beginning January 1, 2016, and every three years thereafter, except for advanced tests which would be reported annually. Payments made on a capitated or other similar payment basis, such as bundled payments, during the 12-month data collection period would be exempt from reporting.
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