ACLA Membership Grows

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ACLA Membership Grows
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New Associate Members
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The Last Twelve Months
Medicare Bill Delivers 4.5 Lab Fee Update In
2009, Repeals Competitive Bidding Demo
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Whats at stake for laboratories?
Which do you want first, the good news that
sounds better than it is or the bad news that
seems worse than you expected?
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Health Reform Why This Year?

• Shifting public opinion
• Opponents not opponents this time
• Democrat control of white house, house and senate
• Economy
• Popular president
• Reconciliation strategy

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Components of Health Reform

• Coverage
• DeliveryQuality
• Prevention, Wellness
• Financing

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ACLA Principles for Health Reform

• Full Access to Lab Services
• No Co-Pays
• Annual CPI Updates
• Continue Direct Billing
• No Bundling
• Better Payment System for Genetic and Molecular
  Tests
• Prevention
• Incentives for Beneficiaries and Doctors

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Benefits

• 20 million more people insured
  (utilizing lab services)
• Greater focus on prevention, wellness
• Focus on quality Comparative
  ...Effectiveness
• New availability of IT

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Dangers

• Larger Payer, greater leverage
  over vendors
• Well-known Medicare reimbursement problems
  grow bigger
• Copay, bundling, cuts in reimbursement
• Payment bundling could wrap in labs
• Labs become pay-forseffectively
  funding health reform
• Politics gives everyone a voice

THE WALL STREET JOURNAL Much like Medicare,
overall spending in the public option will be
controlled over time by paying less for medical
services, drugs, and technology
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FDA Laboratory Developed Tests

• Growing debate on LDT Oversight
• Response to Genentech Citizens Petition
• 10 Groups Write Secretary Sebelius
• Letter to the Editor of Nature Biotechnology
• ACLA Model for Oversight

Nature Biotechnology Magazine
Genes Show Limited Value in Predicting
Diseases
Genetic Tests offer Promise of Personalized
Medicine
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Medically Unlikely Edits

• Edits Suspended March 2009
• ACLA, CAP Meeting at CMS

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Coverage Coding and Reimbursement changes

• McKesson Proposal
• Vitamin D
• MedCAC
• IOAS exception
• AdvaMed Payment Legislation

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Date of Service

• HR 1699 Introduced
• Key Cosponsors
• Administrative Action?
• Prospects for Passage

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RFL communicates with Congressional policymakers
through targeted ads
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RFL encourages voices of Congress to speak to
Congress
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Radio, TV continue to be in RFL focus
WQCD, New York WIND, Chicago WOGL, Philadelphia
WLNH, Boston WCSX, Detroit USA Radio
Network KSSK, Honolulu KTTB, Minneapolis WLTQ,
Tampa KHOP, Sacramento Associated Press
Radio KFMB, San Diego WARH, St. Louis KOA,
Denver WYJZ, Indianapolis WBEE,
Rochester WDIS, Boston KQCH, Omaha WKLH,
Milwaukee WRTN, New York WINC, Detroit Voice
of America KASE, Austin KSPT, Las Vegas WGIC,
Nashville WSNX, Grand Rapids MarketWatch Radio
Network KTSA, San Antonio KZHT, Salt Lake
City WDIA, Memphis WVEZ, Louisville KVSF,
Albuquerque KKNG, Oklahoma City WQSR,
Baltimore KRSK, Portland, OR WSSL, Greenville
NC WTUE, Dayton OH
11/08 Genetic testing radio spot 600 stations
USA Network 3.4 million listeners 12/08
Genetic testing interviews 2,000
stations Associated Press Network 8.7 million
listeners 4/09 Economy and Prevention 113
stations MarketWatch Network 6.6 million
listeners
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RFL news releases grab widespread attention
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RFL continues extensive media outreach to leading
publications
Prevention, April 2009
RFL Briefing, National Press Club, Oct 28, 2008
A Primer on Genetic Testing
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RFL provides articles to smaller newspapers
throughout US
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RFL Ambassadors share the word about value

• Presentations
• Conferences
• Newspapers
• Employee orientation
• Customer meetings
• Local schools

Christine Carter, of Middlesex Medical Center,
hosting RFL booth at 7th Annual Womens
Healthcare Conference in Mystic, CT, in March,
2009.
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