Friday, October 26
Clinical Lab 2.0 for Payers: A Role-Playing Session
Friday, October 26
10:30 am - 11:15 am
Regency B/C/D


  • Rick VanNess (Speaker) Director, Product Development, TriCore Reference Laboratories
  • Patty Kehoe (Speaker) President & CEO, Wisdom Gate Consultant Services, LLC


In this role-playing session, Rick VanNess and Patty Kehoe will demonstrate the Clinical Lab 2.0 business model in action, how laboratory can be compensated outside of the traditional cost/test, deflecting the financial impact of PAMA while repositioning themselves for value-based care.

In this session, we will look at the Present Payer (insurance company)’s point of view: How do they think? How do they evaluate? What do they need? And then introduce how clinical laboratories can derive new and actionable value from existing data, positively impacting clinical and financial outcomes across the care continuum.

The session will explore TriCore’s Clinical Lab 2.0 diagnostic optimization product, including results from an active Payer customer (aimed to be published in Journal of Managed Care later this year) and discuss how TriCore demonstrated a ROI and positioned this new product to the Payer.

Learning Objectives:

  • Explore an infrastructure to use longitudinal laboratory data to create actionable insights for improved patient outcomes
  • Understand how health plans currently view laboratories and how lab leaders can introduce new value to their thinking
  • Understand the value of providing risk stratification for health plan care coordination improvements, and how this positions labs for diversified revenue outside the cost per test

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