Medicare's demonstration of competitive bidding for clinical laboratory services: what it means for clinical laboratories.

Abstract:

:The purpose of Medicare's Demonstration of Competitive Bidding for Clinical Laboratory Services is to determine whether competitive bidding can be used to provide quality laboratory services at prices below current Medicare reimbursement rates. Here, we present key features of the preliminary design for the demonstration. The following areas are covered: scope of the demonstration, bidding process, selection of winners, reimbursement, quality, and administration and monitoring. The role of the Health Care Financing Administration's Laboratory Technical Advisory Committee is also described, and the future of competitive bidding in a Medicare managed care environment is evaluated. We close with some brief comments on how to succeed in competitive bidding for Medicare services.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Hoerger TJ,Lindrooth RC,Eggleston JL

subject

Has Abstract

pub_date

1998-08-01 00:00:00

pages

1728-34

issue

8 Pt 1

eissn

0009-9147

issn

1530-8561

journal_volume

44

pub_type

杂志文章
  • Development of a rapid and sensitive immunofluorometric assay for glutathione S-transferase A.

    abstract:BACKGROUND:The short half-life of the alpha-class glutathione S-transferases (GSTAs) in plasma combined with their even distribution throughout the liver lobule suggests that they may be useful complements to the more traditionally used liver markers. However, the currently available assays for measuring GSTAs in biolo...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Dajani LK,Paus E,Warren DJ

    更新日期:2001-05-01 00:00:00

  • Completeness of Reporting of Systematic Reviews of Diagnostic Test Accuracy Based on the PRISMA-DTA Reporting Guideline.

    abstract:BACKGROUND:We evaluated the completeness of reporting of diagnostic test accuracy (DTA) systematic reviews using the recently developed Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA)-DTA guidelines. METHODS:MEDLINE® was searched for DTA systematic reviews published October 2017 to January 2...

    journal_title:Clinical chemistry

    pub_type: 杂志文章,meta分析

    doi:10.1373/clinchem.2018.292987

    authors: Salameh JP,McInnes MDF,Moher D,Thombs BD,McGrath TA,Frank R,Dehmoobad Sharifabadi A,Kraaijpoel N,Levis B,Bossuyt PM

    更新日期:2019-02-01 00:00:00

  • Effect of protein on the determination of total bile acids in serum.

    abstract::We measured total serum bile acids on a fluorescence-light-scattering micro centrifugal analyzer by the direct enzymatic method with 3 alpha-hydroxysteroid dehydrogenase (EC 1.1.1.50) and with resazurin as a fluorogenic electron acceptor. We found that serum protein has an inhibitory effect on the measurement of bile ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Hanson NQ,Freier EF

    更新日期:1983-01-01 00:00:00

  • Immobilized-enzyme rate-determination method for glucose analysis.

    abstract::We present a rate-determination method for analyzing glucose. A glucose enzyme electrode serves as the sensor and is made by placing a gel-immobilized layer of glucose oxidase over the tip of a Clark-type O2 electrode. The electrode membrane is made of Teflon and is derivatized by etching with a suspension of colloida...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Sokol L,Garber C,Shults M,Updike S

    更新日期:1980-01-01 00:00:00

  • Alternatives to radioimmunoassay: labels and methods.

    abstract::We review the following labels used as substitutes for radioisotopes in immunoassay systems: bacteriophages, chemiluminescence precursors, fluorochromes, fluorogens, fluorescence quenchers, enzymes, coenzymes, inhibitors, substrates, various particulates, metal atoms, and stable free radicals. New methods for performi...

    journal_title:Clinical chemistry

    pub_type: 杂志文章,评审

    doi:

    authors: Schall RF Jr,Tenoso HJ

    更新日期:1981-07-01 00:00:00

  • Comparison of urinary albumin quantification by immunoturbidimetry, competitive immunoassay, and protein-cleavage liquid chromatography-tandem mass spectrometry.

    abstract:BACKGROUND:Increased urinary albumin excretion is a well-documented diagnostic and prognostic biomarker for renal disease. Urinary albumin is typically measured in clinical settings by immunoassay methods. However, neither a reference method nor a urine albumin calibration reference material is currently available. ME...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2009.129833

    authors: Seegmiller JC,Sviridov D,Larson TS,Borland TM,Hortin GL,Lieske JC

    更新日期:2009-11-01 00:00:00

  • Clinical evaluation of the Triage analytic device for drugs-of-abuse testing.

    abstract::In the present clinical evaluation of Triage immunoassay for detection of drugs of abuse, we examined a possible connection between the laboratory skills of the personnel using it and the quality of analytical results; we also evaluated the degree of concordance between the Triage results and those obtained by an inst...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: de la Torre R,Domingo-Salvany A,Badia R,Gonzàlez G,McFarlane D,San L,Torrens M

    更新日期:1996-09-01 00:00:00

  • Comparison between immunoturbidimetry, size-exclusion chromatography, and LC-MS to quantify urinary albumin.

    abstract:BACKGROUND:The accurate and precise measurement of urinary albumin is critical, since even minor increases are diagnostically sensitive indicators of renal disease, cardiovascular events, and risk for death. To gain insights into potential measurement biases, we systematically compared urine albumin measurements perfor...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2008.107508

    authors: Shaikh A,Seegmiller JC,Borland TM,Burns BE,Ladwig PM,Singh RJ,Kumar R,Larson TS,Lieske JC

    更新日期:2008-09-01 00:00:00

  • Magnetizable solid-phase fluoroimmunoassay of thyroxine by a sequential addition technique.

    abstract::We describe a simple fluoroimmunoassay for the determination of thyroxine concentrations in serum. The method, "sequential addition, separation fluoroimmunoassay," involves both thyroxine labeled with fluorescein and magnetizable cellulose/iron oxide particles to which antibodies to thyroxine have been covalently link...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Nargessi RD,Ackland J,Hassan M,Forrest GC,Smith DS,Landon J

    更新日期:1980-11-01 00:00:00

  • Photodiode array detection for liquid chromatographic profiling of carboxylic acids in physiological fluids: 3-hydroxy-3-methylglutaric aciduria.

    abstract::3-Hydroxy-3-methylglutaric aciduria was detected in a newborn. The progress of the dietary therapy for the disorder was monitored by dual-column "high-performance" liquid chromatography with a computer-controlled photodiode array spectrophotometric detector. This procedure is a quick way to detect and monitor the prog...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Buchanan DN,Thoene JG

    更新日期:1986-01-01 00:00:00

  • Simultaneous detection of high-sensitivity cardiac troponin I and myoglobin by modified sandwich lateral flow immunoassay: proof of principle.

    abstract:BACKGROUND:Although numerous lateral flow immunoassays (LFIAs) have been developed and widely used, inadequate analytical sensitivity and the lack of multiple protein detection applications have limited their clinical utility. We developed a new LFIA device for the simultaneous detection of high-sensitivity cardiac tro...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2011.171694

    authors: Zhu J,Zou N,Zhu D,Wang J,Jin Q,Zhao J,Mao H

    更新日期:2011-12-01 00:00:00

  • Is succinyldicholine the substrate of choice for the measurement of cholinesterase activity?

    abstract::We have developed a succinyldicholine-based assay for serum cholinesterase (EC 3.1.1.8) to help establish whether patients with suspected sensitivity to drugs of this type have enzyme abnormalities that cannot be detected by conventional laboratory techniques. Although the method discriminates between cholinesterase a...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Faye S,Evans RT

    更新日期:1986-08-01 00:00:00

  • Stability of NADPH: effect of various factors on the kinetics of degradation.

    abstract::Seeking to minimize degradation of NADPH during storage, reagent preparation, and assays, we investigated the effects of pH, temperature, and ionic strength as well as the effects of phosphate and acetate. NADH was also included for comparison. Our results indicate that the rate of degradation of NADPH is proportional...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Wu JT,Wu LH,Knight JA

    更新日期:1986-02-01 00:00:00

  • Salivary progesterone excellently reflects free and total progesterone in plasma during pregnancy.

    abstract::To see if saliva is a valid substitute for plasma in assay of progesterone even when concentrations of hormone and binding proteins are fluctuating, we determined the concentrations of total and free progesterone in plasma and salivary progesterone in specimens from 36 women volunteers during the course of pregnancy a...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Meulenberg PM,Hofman JA

    更新日期:1989-01-01 00:00:00

  • Single assay for amino-terminal fragments of cardiac A- and B-type natriuretic peptides.

    abstract:BACKGROUND:High circulating concentrations of N-terminal fragments of A- and B-type natriuretic peptides (NT-proANP and NT-proBNP) identify patients with impaired cardiac function. ProANP-derived peptides are particularly sensitive to increased preload of the heart and proBNP-derived peptides to increased afterload; th...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2004.039891

    authors: Ala-Kopsala M,Ruskoaho H,Leppäluoto J,Seres L,Skoumal R,Toth M,Horkay F,Vuolteenaho O

    更新日期:2005-04-01 00:00:00

  • Liquid-chromatographic determination of free and total 3,4-dihydroxyphenylglycol and 3-methoxy-4-hydroxyphenylglycol in urine.

    abstract::We describe the conjoint measurement in urine of the alcoholic catecholamine metabolites 3,4-dihydroxyphenylglycol (DHPG) and 3-methoxy-4-hydroxyphenylglycol (MHPG). The method involves extraction with ethyl acetate and back-extraction into acetic acid (MHPG), followed by adsorption onto alumina (DHPG). The separation...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Julien C,Rodriguez C,Sacquet J,Cuisinaud G,Sassard J

    更新日期:1988-05-01 00:00:00

  • Differential patterns of bone turnover in relation to bone pain and disease extent in bone in cancer patients with skeletal metastases.

    abstract:BACKGROUND:The alteration of the bone microenvironment as a consequence of skeletal metastases is poorly understood. The aim of this study was to search for patterns of bone markers in relation to primary tumor type, bone pain, and number of sites involved in patients with bone metastases. METHODS:We studied 323 patie...

    journal_title:Clinical chemistry

    pub_type: 临床试验,杂志文章

    doi:

    authors: Berruti A,Dogliotti L,Gorzegno G,Torta M,Tampellini M,Tucci M,Cerutti S,Frezet MM,Stivanello M,Sacchetto G,Angeli A

    更新日期:1999-08-01 00:00:00

  • Outliers as a cause of false cardiac troponin results: investigating the robustness of 4 contemporary assays.

    abstract:BACKGROUND:It is important that cardiac troponin be measured accurately with a robust method to limit false results with potentially adverse clinical outcomes. In this study, we characterized the robustness of 4 analytical platforms by measuring the outlier rate between duplicate results. METHODS:We measured cardiac t...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2010.159830

    authors: Pretorius CJ,Dimeski G,O'Rourke PK,Marquart L,Tyack SA,Wilgen U,Ungerer JP

    更新日期:2011-05-01 00:00:00

  • Replacing creatinine measurements with specific gravity values to adjust urine cotinine concentrations.

    abstract::Creatinine and specific gravity (relative density) measurements both allow differences in urine concentration to be taken into account in determining urine cotinine concentrations. In this study we demonstrate that the variance of urine cotinine measurements is reduced comparably when either creatinine or specific gra...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Haddow JE,Knight GJ,Palomaki GE,Neveux LM,Chilmonczyk BA

    更新日期:1994-04-01 00:00:00

  • Clinical and laboratory studies of a new immunoradiometric assay of parathyroid hormone-related protein.

    abstract::Parathyroid hormone-related protein (PTHrP) was measured in plasma by a new immunoradiometric assay (IRMA) from Nichols Institute. The assay is specific for PTHrP and shows excellent parallelism when measuring keratinocyte fluid, samples with high PTHrP content, and PTHrP-supplemented plasma. A precision profile estab...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Fraser WD,Robinson J,Lawton R,Durham B,Gallacher SJ,Boyle IT,Beastall GH,Logue FC

    更新日期:1993-03-01 00:00:00

  • Troponin I in patients without chest pain.

    abstract:BACKGROUND:Testing for troponin has important clinical value for patients who present with typical symptoms of acute coronary syndromes (ACS) such as chest pain (CP). Much less is known about the value of troponin testing for patients who present with other symptoms of ACS (anginal equivalent symptoms). METHODS:The ut...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2003.016311

    authors: Ritter D,Lee PA,Taylor JF,Hsu L,Cohen JD,Chung HD,Virgo KS

    更新日期:2004-01-01 00:00:00

  • Chromosomal instability in cell-free DNA is a serum biomarker for prostate cancer.

    abstract:BACKGROUND:Genomic instability resulting in copy number variation is a hallmark of malignant transformation and may be identified through massive parallel sequencing. Tumor-specific cell free DNA (cfDNA) present in serum and plasma provides a real-time, easily accessible surrogate. METHODS:DNA was extracted from serum...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2014.226571

    authors: Schütz E,Akbari MR,Beck J,Urnovitz H,Zhang WW,Bornemann-Kolatzki K,Mitchell WM,Nam RK,Narod SA

    更新日期:2015-01-01 00:00:00

  • Troponin T and I assays show decreased concentrations in heparin plasma compared with serum: lower recoveries in early than in late phases of myocardial injury.

    abstract:BACKGROUND:Heparinized plasma samples allow more rapid analysis than serum samples, but preliminary studies showed lower cardiac troponin T (cTnT) results in plasma. We undertook a multicenter study to characterize this effect for cTnT and cardiac troponin I (cTnI). METHODS:Blood samples were collected with and withou...

    journal_title:Clinical chemistry

    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Gerhardt W,Nordin G,Herbert AK,Burzell BL,Isaksson A,Gustavsson E,Haglund S,Müller-Bardorff M,Katus HA

    更新日期:2000-06-01 00:00:00

  • Differential gene expression of Eph receptors and ephrins in benign human tissues and cancers.

    abstract:BACKGROUND:Eph receptors and their ligands, the ephrins, represent a large class of cell-cell communication molecules with well-defined developmental functions. Their role in healthy adult tissues and in human disease is still largely unknown, although diverse roles in carcinogenesis have been postulated. METHODS:We e...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2003.026849

    authors: Hafner C,Schmitz G,Meyer S,Bataille F,Hau P,Langmann T,Dietmaier W,Landthaler M,Vogt T

    更新日期:2004-03-01 00:00:00

  • A case of sulfhemoglobinemia and emergency measurement of sulfhemoglobin with an OSM3 CO-oximeter.

    abstract::We describe a case of sulfhemoglobinemia associated with toxic paint ingestion. Blood gases, oxygen content, and fractional hemoglobin derivatives were assayed with Radiometer 520 and OSM3 instruments. Although the CO-oximeters indicated the presence of sulfhemoglobin (SulfHb), the results were not quantitative. An OS...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Wu C,Kenny MA

    更新日期:1997-01-01 00:00:00

  • Stable-isotope dilution liquid chromatography-electrospray injection tandem mass spectrometry method for fast, selective measurement of S-adenosylmethionine and S-adenosylhomocysteine in plasma.

    abstract:BACKGROUND:It has been postulated that changes in S-adenosylhomocysteine (AdoHcy), a potent inhibitor of transmethylation, provide a mechanism by which increased homocysteine causes its detrimental effects. We aimed to develop a rapid and sensitive method to measure AdoHcy and its precursor S-adenosylmethionine (AdoMet...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2004.046995

    authors: Gellekink H,van Oppenraaij-Emmerzaal D,van Rooij A,Struys EA,den Heijer M,Blom HJ

    更新日期:2005-08-01 00:00:00

  • Lp-PLA2: a new kid on the block.

    abstract:BACKGROUND:Atherosclerosis is a systemic disease with focal rupture of vulnerable plaque responsible for major clinical events. Several population-based studies indicate an association between lipoprotein-associated phospholipase A2 (Lp-PLA2) and cardiovascular events. Lp-PLA2 is emerging as a biomarker that may be a p...

    journal_title:Clinical chemistry

    pub_type: 杂志文章,评审

    doi:10.1373/clinchem.2006.070672

    authors: Zalewski A,Nelson JJ,Hegg L,Macphee C

    更新日期:2006-09-01 00:00:00

  • New immunoenzymatic assay for human thyrotropin compared with two radioimmunoassays.

    abstract::We have evaluated a new immunoenzymatic assay for human thyrotropin involving three monoclonal antibodies (Abbott HTSH EIA) and compared the results with those of two conventional nonequilibrium double-antibody radioimmunoassay (RIA) methods: Clinical Assays' RIA and a research RIA (J Clin Endocrinol Metab 1975; 41:67...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Pekary AE,Turner LF Jr,Hershman JM

    更新日期:1986-03-01 00:00:00

  • Partition affinity ligand assay (PALA) for quantitation of triiodothyronine in serum.

    abstract::Radioimmunoassay of triiodothyronine was performed with a homogeneous incubation system. Bound and free ligand were separated by partitioning in an aqueous two-phase system. The agreement between the results obtained with this technique and conventional heterogeneous radioimmunoassay was very good (r = 0.981). ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Mattiasson B,Eriksson H

    更新日期:1982-04-01 00:00:00

  • Newborn screening for cystic fibrosis by use of a multiplex immunoassay.

    abstract:BACKGROUND:Since its beginnings, newborn screening for cystic fibrosis (CF) using an assay for immunoreactive trypsinogen (IRT) has been plagued by a high rate of false-positive results (screen positive, diagnosis negative), despite attempts to reduce this rate by use of altered cutoffs and second-tier DNA testing. IRT...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2009.132480

    authors: Lindau-Shepard BA,Pass KA

    更新日期:2010-03-01 00:00:00