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       Headlines - October 16, 2006
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R. Lewis Dark: Blood Brothers Prepare to Go to the Mat

LIKE MANY OFYOU, I WAS STARTLED BY THE NEWS that UnitedHealth Group, Inc. was willing to cut Quest Diagnostics Incorporated out of the health insurer’s national contract for laboratory testing services. After all, there are many reasons, like economies of scale, why these two companies should be mutually interested in perpetuating their business relationship.

Nonetheless, it is now an announced fact that, as of January 1, 2007, Laboratory Corporation of America will be the sole national contract provider for UnitedHealth. As that date arrives, it will be a high-stakes game for all three parties. Quest Diagnostics has acknowledged that the UnitedHealth business is about 7%, or $385 million, of its $5.5 billion revenue. That business is going to be vigorously contested.

For its part, LabCorp has told Wall Street that it must spend more than $35 million in additional expenses and capital to put infrastructure into markets where UnitedHealth has beneficiaries and LabCorp has inadequate resources. Further, for it to benefit financially from its new national contract, LabCorp must convince large numbers of physicians who currently use Quest Diagnostics for their UnitedHealth patients to redirect those specimens away from Quest and over to LabCorp.

If you ask me, we are about to see one of the most interesting business battles between commercial lab firms since the 1980s. LabCorp has the challenge of executing its business strategy. It must swiftly build patient service centers and rapid response labs in communities where it currently has little presence. It must hire additional sales reps to call on physicians and convince them to switch. LabCorp must also create regional laboratory networks in selected areas and develop collaborative relationships with local labs in other markets.

Meanwhile, Quest Diagnostics will be doing everything in its power to retain these physicians as clients. Its sales reps will aggressively work to retain the status quo. Quest Diagnsotics is also likely to experiment with some unexpected strategies and tactics to retain this business.

Finally, I predict that there will be more at stake than several hundred million dollars per year of lab testing business. This battle will be over corporate honor. Given human nature, employees at both firms are likely to make this a personal grudge match.



United Health: Quest Is " Out"—LabCorp Is "In"

UnitedHealth upends status quo and opts to use LabCorp exclusively

CEO SUMMARY: Effective on January 1, 2007, UnitedHealth Group will have one national contract laboratory. On that date, Laboratory Corporation of America becomes the preferred provider and Quest Diagnostics Incorporated becomes an out-of-network laboratory. With access to 34 million UnitedHealth beneficiaries at stake, competition is likely to intensify between these two lab companies.



Evolving Strategy Guides American Esoteric Labs

An opportunistic AEL is acquiring strong, local routine testing lab companies

CEO SUMMARY: Back in April 2004, when American Esoteric Laboratories, Inc. (AEL) launched operations, its declared ambition was to become a national esoteric testing firm. However, given the positive experiences from its acquisition of Memphis Pathology Laboratories in September 2004, AEL has evolved its core business strategy to include routine testing and to focus on regional hospital and physician office opportunities.



News Interview: LabCorp Exec Discusses Reasons Behind Its 10-Year Pact with United

LabCorp’s new CEO and executive team offer perspectives on lab industry trendss

CEO SUMMARY: It was unprecedented when UnitedHealth Group announced an exclusive, 10-year laboratory testing services agreement with Laboratory Corporation of America Holdings. This is a high-stakes development for both companies. To learn more about the motivations and goals that encouraged UnitedHealth and LabCorp to partner up in this fashion, THE DARK REPORT spoke with Bradford T. Smith, LabCorp's Executive Vice President for Corporate Affairs. Two key objectives are to lower UnitedHealth's cost of laboratory testing and to reduce leakage. Several subtle goals align the interests of both parties. Among them is a mutual interest in developing more standardized laboratory test data and using that information to support efforts in disease management and evidence-based medicine. The interview was conducted by Robert L. Michel, Editor-In-Chief of THE DARK REPORT.




Lab Management Trends:New Book Offers Guidance About Management of POCT

Authors connect and integrate the trend of quality management systems with POCT



INTELLIGENCE: Late & Latent

NEW & STEPHANELLI LAUNCH AP COMPANY

PROJECT UNDER WAY TO SEQUENCE FULL NEANDERTHAL GENOME

 

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