Skip to main content
Subscribe
  • Sign Up Free
  • Login
  • Subscribe
  • News
    • Current News
    • Providers
    • Insurance
    • Government
    • Finance
    • Technology
    • Safety & Quality
    • Digital Health
    • Transformation
    • ESG
    • People
    • Regional News
    • Digital Edition (Web Version)
    • Patients
    • Operations
    • Care Delivery
    • Payment
    • Midwest
    • Northeast
    • South
    • West
  • Opinion
    • Bold Moves
    • Breaking Bias
    • Commentaries
    • Letters
    • Vital Signs Blog
    • From the Editor
  • Events & Awards
    • Awards
    • Conferences
    • Galas
    • Virtual Briefings
    • Webinars
    • Nominate/Eligibility
    • 100 Most Influential People
    • 50 Most Influential Clinical Executives
    • Best Places to Work in Healthcare
    • Excellence in Governance
    • Health Care Hall of Fame
    • Healthcare Marketing Impact Awards
    • Top 25 Emerging Leaders
    • Top Innovators
    • Diversity in Healthcare
      • - Luminaries
      • - Top 25 Diversity Leaders
      • - Leaders to Watch
    • Women in Healthcare
      • - Luminaries
      • - Top 25 Women Leaders
      • - Women to Watch
    • Digital Health Transformation Summit
    • ESG: The Implementation Imperative Summit
    • Leadership Symposium
    • Social Determinants of Health Symposium
    • Women Leaders in Healthcare Conference
    • Best Places to Work Awards Gala
    • Health Care Hall of Fame Gala
    • Top 25 Diversity Leaders Gala
    • Top 25 Women Leaders Gala
    • - Hospital of the Future
    • - Value Based Care
    • - Hospital at Home
    • - Workplace of the Future
    • - Digital Health
    • - Future of Staffing
    • - Hospital of the Future (Fall)
  • Multimedia
    • Podcast - Beyond the Byline
    • Sponsored Podcast - Healthcare Insider
    • Video Series - The Check Up
    • Sponsored Video Series - One on One
  • Data Center
    • Data Center Home
    • Hospital Financials
    • Staffing & Compensation
    • Quality & Safety
    • Mergers & Acquisitions
    • Data Archive
    • Resource Guide: By the Numbers
    • Surveys
    • Data Points
  • Newsletters
  • MORE+
    • Contact Us
    • Advertise
    • Media Kit
    • Jobs
    • People on the Move
    • Reprints & Licensing
MENU
Breadcrumb
  1. Home
  2. Finance
May 19, 2020 12:14 PM

Lab test volumes up as providers begin to reopen

Adam Bonislawski, 360Dx
  • Tweet
  • Share
  • Share
  • Email
  • More
    Reprints Print

    Even as clinical laboratories have struggled to ramp up COVID-19 test capacity, routine and other testing has fallen off dramatically, leading to recent volume declines of 50% or more for many labs.

    Some lab management groups said, however, that in the last three weeks they have seen a steady uptick in test volumes among their clients, suggesting that the industry, or at least parts of it, could be moving toward a recovery.

    Labs began to see a large drop in test volumes in the second half of March as the SARS-CoV-2 pandemic took hold in the U.S.

    During Quest Diagnostics' recent Q1 earnings call, President, CEO and Chairman Steve Rusckowski said the company had seen a decline in testing of around 50 to 60% inclusive of COVID-19 testing. LabCorp similarly reported a drop in testing demand of around 50% to 55% by the end of Q1.

    At the beginning of April, Kyle Fetter, executive vice president and general manager of diagnostic services at revenue cycle management and lab informatics firm Xifin, echoed the reference labs' reports, noting that his firm had seen drops ranging from around 20% to more than 50% depending on the type of testing.

    Recently, though, Xifin has seen a rise in testing, with, according to the company's data, volumes beginning to go up again starting the week of April 6 through April 12. At the beginning of that week, test volumes were at just over 40% of their normal baseline (as established by average volumes in January and February of 2020) excluding SARS-CoV-2 testing and at 60% of baseline when SARS-Cov-2 tests were included. As of last week, test volumes for the company's clients had risen to 56% of their baseline excluding SARS-CoV-2 testing and to 91% of baseline with SARS-CoV-2 testing included.

    When SARS-CoV-2 testing is included, Xifin's data shows that several categories of labs are currently above baseline testing levels. For instance, clinical labs are at 111% of baseline (with SARS-CoV-2 testing making up 47% of overall volume), while molecular labs are at 107% of baseline volume (with SARS-CoV-2 accounting for 38% of total volume).

    Pain and toxicology labs, meanwhile, are at 55% of baseline volume (SARS-CoV-2 18% of total), pathology labs are at 62% of baseline volume (SARS-CoV-2 at 5% of total), and hospital outreach labs are at 92% of baseline (SARS-CoV-2 41% of total).

    "We are seeing [testing] trickle back in," Fetter said. "I don't know that we are sitting here thinking that suddenly things are going to return to normal. But what appears to be happening right now is slowly, doctors' offices are getting reengaged and that means the [test] volumes are going to start to ramp back up again."

    He noted that the uptick was more pronounced in some specialties than others, with, for instance, noninvasive prenatal testing and clinical genetics seeing solid rises in volume, while areas like anatomic pathology and toxicology remained sluggish.

    Fetter said the company also saw differences based on geography, with testing appearing to return more rapidly in Midwestern locations compared to the coasts, though he noted that volumes are up somewhat even in the hardest hit parts of the country like the Northeast.

    He suggested that in addition to the gradual reopening of doctors' practices, the rise in test volumes was driven by the fact that some patients can no longer safely delay testing they had avoided during the earlier weeks and months of the pandemic.

    "You can only defer some of this testing for so long before it creates a more negative impact" than COVID-19 itself, he said. "Certainly, there is a lot of testing that goes on every day just to kind of keep people going, and that is the kind of testing that we are seeing start to return."

    David Nichols, president and founder of lab services consulting firm Nichols Management Group, said that he had, likewise, seen a rise in test volumes among his clients in recent weeks but said that he believed much of this was due to a jump in SARS-CoV-2 serology testing as opposed to the return of routine testing.

    He added, though, that routine testing volumes were "slowly returning, especially correlated to the resurgence of discretionary surgery" and other non-urgent medical procedures.

    Nichols said his firm's client mix was roughly similar to Xifin's, though he noted that his firm might have a higher percentage of anatomic pathology business, which has been among the slower areas to return.

    As the Xifin volume data shows, SARS-CoV-2 testing makes up a substantial portion of current lab volume, though Nichols said that he anticipated lab-based SARS-CoV-2 testing could dwindle in coming months.

    "There has been a spike in the last couple of weeks due to antibody testing, but I don't think that is going to continue," he said, adding that he believed the spike was due in large part to people who had had colds or flu during the winter wanting to learn if they have been exposed to SARS-CoV-2.

    "They went and got their antibody tests, and if it was negative, they aren't going to get tested again," he said.

    Additionally, point-of-care and home-based protein antigen tests will likely compete with lab-based PCR testing for the virus in coming months, Nichols said, which could negatively impact lab volumes even as overall demand for SARS-CoV-2 testing rises. He said he also expected that Medicare pricing for SARSCoV-2 tests will be reset at lower rates next year.

    He suggested that longer term the virus would likely boost testing volumes, especially if, as some are predicting, infections recur on a seasonal basis much like the flu. In that case, he said labs would continue to see demand for SARS-CoV-2 testing and would likely see increased demand for respiratory test panels, as well, as many patients with respiratory infections and their doctors would feel increased urgency to more quickly determine the cause of their infection, and so, would be less put off by the copays and deductibles involved.

    "You don't want to take advantage of a situation like this, but it is good for the public awareness of the [lab] industry, and it's good [long term] for the industry's revenue," Nichols said.

    This story first appeared in our sister publication, 360Dx, which provides in-depth coverage of in vitro diagnostics and the clinical lab market.

    Letter
    to the
    Editor

    Send us a letter

    Have an opinion about this story? Click here to submit a Letter to the Editor, and we may publish it in print.

    Recommended for You
    Copy of 030821-Regionals-Highmark_WEB_i.jpg
    Highmark Q1 net income rose 250% on investment gains
    merger - money - puzzle
    Newly combined Advocate Health sees net gains in first post-merger report
    Most Popular
    1
    More healthcare organizations at risk of credit default, Moody's says
    2
    Centene fills out senior executive team with new president, COO
    3
    SCAN, CareOregon plan to merge into the HealthRight Group
    4
    Blue Cross Blue Shield of Michigan unveils big push that lets physicians take on risk, reap rewards
    5
    Bright Health weighs reverse stock split as delisting looms
    Sponsored Content
    Daily Finance Newsletter: Sign up to receive daily news and data that has a direct impact on the business and financing of healthcare.
    Get Newsletters

    Sign up for enewsletters and alerts to receive breaking news and in-depth coverage of healthcare events and trends, as they happen, right to your inbox.

    Subscribe Today
    MH Magazine Cover

    MH magazine offers content that sheds light on healthcare leaders’ complex choices and touch points—from strategy, governance, leadership development and finance to operations, clinical care, and marketing.

    Subscribe
    Connect with Us
    • LinkedIn
    • Twitter
    • Facebook
    • RSS

    Our Mission

    Modern Healthcare empowers industry leaders to succeed by providing unbiased reporting of the news, insights, analysis and data.

    Contact Us

    (877) 812-1581

    Email us

     

    Resources
    • Contact Us
    • Advertise with Us
    • Ad Choices Ad Choices
    • Sitemap
    Editorial Dept
    • Submission Guidelines
    • Code of Ethics
    • Awards
    • About Us
    Legal
    • Terms and Conditions
    • Privacy Policy
    • Privacy Request
    Modern Healthcare
    Copyright © 1996-2023. Crain Communications, Inc. All Rights Reserved.
    • News
      • Current News
      • Providers
      • Insurance
      • Government
      • Finance
      • Technology
      • Safety & Quality
      • Digital Health
      • Transformation
        • Patients
        • Operations
        • Care Delivery
        • Payment
      • ESG
      • People
      • Regional News
        • Midwest
        • Northeast
        • South
        • West
      • Digital Edition (Web Version)
    • Opinion
      • Bold Moves
      • Breaking Bias
      • Commentaries
      • Letters
      • Vital Signs Blog
      • From the Editor
    • Events & Awards
      • Awards
        • Nominate/Eligibility
        • 100 Most Influential People
        • 50 Most Influential Clinical Executives
        • Best Places to Work in Healthcare
        • Excellence in Governance
        • Health Care Hall of Fame
        • Healthcare Marketing Impact Awards
        • Top 25 Emerging Leaders
        • Top Innovators
        • Diversity in Healthcare
          • - Luminaries
          • - Top 25 Diversity Leaders
          • - Leaders to Watch
        • Women in Healthcare
          • - Luminaries
          • - Top 25 Women Leaders
          • - Women to Watch
      • Conferences
        • Digital Health Transformation Summit
        • ESG: The Implementation Imperative Summit
        • Leadership Symposium
        • Social Determinants of Health Symposium
        • Women Leaders in Healthcare Conference
      • Galas
        • Best Places to Work Awards Gala
        • Health Care Hall of Fame Gala
        • Top 25 Diversity Leaders Gala
        • Top 25 Women Leaders Gala
      • Virtual Briefings
        • - Hospital of the Future
        • - Value Based Care
        • - Hospital at Home
        • - Workplace of the Future
        • - Digital Health
        • - Future of Staffing
        • - Hospital of the Future (Fall)
      • Webinars
    • Multimedia
      • Podcast - Beyond the Byline
      • Sponsored Podcast - Healthcare Insider
      • Video Series - The Check Up
      • Sponsored Video Series - One on One
    • Data Center
      • Data Center Home
      • Hospital Financials
      • Staffing & Compensation
      • Quality & Safety
      • Mergers & Acquisitions
      • Data Archive
      • Resource Guide: By the Numbers
      • Surveys
      • Data Points
    • Newsletters
    • MORE+
      • Contact Us
      • Advertise
      • Media Kit
      • Jobs
      • People on the Move
      • Reprints & Licensing