6 hours of sleep: Is it enough for some patients?
Medscape
Obtaining sufficient sleep is a crucial component of proper health maintenance. Some authors have gone so far as to recommend that sleep be considered an additional "vital sign" to be assessed at each healthcare provider visit. There are multiple facets to a comprehensive sleep evaluation for an individual patient; however, one of the most important measures is average sleep duration each night. Although all might agree on the importance of total sleep time, it isn't clear what the nightly target should be. In other words, how much sleep is enough for your patient? Before providing an answer to this surprisingly complex question, it's worth taking the time to review the science of health outcomes as they relate to sleep.
2 American diagnostics labs get hit with a $48.5 million fine for providing unnecessary medical tests
The Standard Daily
Two U.S. companies have been slammed with a joint $48.5 million fine for conducting unnecessary medical tests in affinity with doctors that refer patients to them for a commission. The companies are Health Diagnostics Laboratory (HDL) and Singulex, two cardiovascular disease testing labs. HDL is fined the sum of $47 and Singulex is to pay back $1.5 million; but then, neither of the companies admitted any guilt or liability in the lawsuit brought against them.
CAP response: JAMA breast biopsy study
College of American Pathologists
On March 17, the Journal of the American Medical Association published a study, "Diagnostic Concordance Among Pathologists Interpreting Breast Biopsy Specimens," which examined pathologists' interpretations of breast biopsies. As the world's largest organization of board-certified pathologists, the CAP believes this article may lead to unnecessary worry for patients.
The FSP at work this legislative session
FSP
Here are a list of bills currently being presented during the Florida state legislative session with potential impact on our profession. We will continue to monitor their progress and report developments in the coming weeks. Please note that the links will continuously update. Stay tuned!
Florida rheumatologist says UnitedHealthcare's management program for clinical lab tests could jeopardize patient care
Dark Daily
In Florida, the confrontation between one of the nation's largest health insurance corporations and physicians, clinical laboratory managers, and pathologists continues. The source of this confrontation are the restrictive and burdensome requirements for medical laboratory test ordering imposed last fall by UnitedHealthcare and administered by BeaconLBS, a business division of Laboratory Corporation of America. For Florida rheumatologist Olga Kromo, M.D., UnitedHealthcare's new decision-support system that physicians are required to use when ordering clinical laboratory tests is highly flawed.
Growing wave of hospital, health system mega-mergers means changing dynamics for pathology, clinical lab medicine
Dark Daily
Large and financially-stable multi-hospital health systems are racing to form regional mega-systems. It's a strategy to get ahead of the Affordable Care Act's mandate to improve quality and increase efficiency through coordinated care across the entire care continuum. This growing national trend means further consolidation of clinical laboratory testing services within the merging organizations.
CDC installing cameras in labs in agency-wide safety push
Reuters
The U.S. Centers for Disease Control and Prevention has introduced camera monitoring of workers in its highest-level biosafety laboratories as it seeks to restore public faith in its procedures after a series of mishaps, agency officials tell Reuters.
Top legal minds against FDA's proposal to regulate lab tests
RAPS
A new legal whitepaper authored by two of America's most prominent lawyers argues that the U.S. Food and Drug Administration's plan to regulate lab developed tests (LDTs) more similarly to traditional medical devices lacks legal justification and is therefore unlawful.
UnitedHealthcare pushes back start date for making claims-payment decisions
Dark Daily
Physicians, pathologists, and clinical laboratories in Florida got a late Christmas present. UnitedHealthcare postponed the date when its medical laboratory benefit-management pilot program in Florida, administered by BeaconLBS, would affect claims payments. This was welcome news, because, beginning Jan. 1, if physicians serving UHC patients had failed to use the BeaconLBS system to obtain pre-notification or pre-authorization for 82 medical laboratory tests, the physicians or labs performing the tests would not be paid by UHC—nor could clinical labs and pathology groups in the UHC provider network bill patients for these tests.
Scientists identify 'high-priority' chemicals that may cause breast cancer
Medical News Today
From May 14: An estimated 12.4 percent of women born in the U.S. today will develop breast cancer at some point during their lives. Past research has indicated that exposure to some chemicals may increase the risk of breast cancer. Now, a new study has identified 17 "high-priority" chemicals women should avoid in order to reduce such risk and demonstrates how their presence can be detected.
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