The Medicate Payment Advisory Commission (MedPAC) gave a presentation confirming that independent laboratories were overrepresented in PAMA’s private-payer data relative to CLFS billing volume (slide 9). Additionally, they confirmed that between 2017 and 2019, chemistry test spending declined by 14% while molecular pathology test spending increased by 251% (slide 12). MedPAC believes setting payment rates by using a survey could substantially reduce the burden of reporting. A survey could reduce the number of laboratories that would be required to report private payer data by up to 70% (slide 15). For more information on MedPAC’s recommended next steps, view this presentation or visit their website,

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