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Direct to Consumer Blood Tests

  • 1.  Direct to Consumer Blood Tests

    Posted 07-23-2019 15:54
    Hello! It seems that LabCorp is looking to fill the gap in Walgreen's stores that Theranos had wanted to fill and will be offering laboratory tests upon customer request without a physician order. I think that this could change a lot in our profession and our business model. See this article: LabCorp rolls out direct-to-consumer blood tests: LabCorp, one of the largest clinical laboratory companies in the world, is now giving consumers the option to order their own blood tests online as it positions itself for a major expansion of brick-and-mortar testing sites in Walgreens stores.
    Beckershospitalreview remove preview
    LabCorp rolls out direct-to-consumer blood tests: LabCorp, one of the largest clinical laboratory companies in the world, is now giving consumers the option to order their own blood tests online as it positions itself for a major expansion of brick-and-mortar testing sites in Walgreens stores.
    LabCorp, one of the largest clinical laboratory companies in the world, is now giving consumers the option to order their own blood tests online as it positions itself for a major expansion of brick-and-mortar testing sites in Walgreens stores. The company announced the new offering July 22 as an expansion of its "Pixel" platform.
    View this on Beckershospitalreview >


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    Maribeth Flaws
    Chairperson
    Rush University Medical Center
    LaGrange IL
    312-942-2115
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  • 2.  RE: Direct to Consumer Blood Tests

    Posted 07-24-2019 04:15
    I am also interested in this topic.  See the post by Letycia Nunez-Argote on July 15.

    In our area, Mid-America Clinical Lab (Quest) offers this service.

    http://www.solobymacl.com/

    Dollar Tree stores have an on-site lab of sorts, too.
    Pregnancy, Ovulation, Drug Test Packaging



  • 3.  RE: Direct to Consumer Blood Tests

    Posted 07-24-2019 09:36
    Good Morning-

    Yes, you are correct.  See Walgreens and LabCorp to Open at Least 600 LabCorp at Walgreens Patient Service Centers
    Walgreensbootsalliance remove preview
    Walgreens and LabCorp to Open at Least 600 LabCorp at Walgreens Patient Service Centers
    DEERFIELD, Ill. & BURLINGTON, N.C, October 10, 2018 - Walgreens and LabCorp® (NYSE: LH) today announced their mutual commitment to a significant expansion of their LabCorp at Walgreens collaboration. The two companies have agreed to open at least 600 LabCorp patient service centers at Walgreens stores across the U.S.
    View this on Walgreensbootsalliance >

    The Deerfield location in our area is across from the Metra station on Deerfield Road.  I haven't gone through the testing process at that location, but did use the kiosk and reviewed it's screens for self registration, etc.  LabCorp also has a patient app to receive test results on one's smartphone/device and also via the Apple Health app, which was part of my recent ASCLS Annual Meeting Presentation.

    AACC posted an article on the topic here:  Blurred Lines - AACC.org
    Aacc remove preview
    Blurred Lines - AACC.org
    Direct-to-consumer testing allows patients to take their health into their own hands. While it may seem more convenient, it also creates more questions in the field of laboratory medicine.
    View this on Aacc >


    Also here are more considerations to which I've contributed ideas:

    Integration of Patient-Generated Test Results with Those from Accredited Laboratories
    Lab Soft News remove preview
    Integration of Patient-Generated Test Results with Those from Accredited Laboratories
    In response to my note yesterday about direct-access-testing (DAT) (see: New Definition for DTC Lab Testing Prompted by EverlyWell Business Model), Andrea Pitkin, Ph.D., commented in the form of a presentation she had made at the last ASCLS annual meeting. She makes a number of important observations that I hope...
    View this on Lab Soft News >

    and here:
    https://labsoftnews.typepad.com/lab_soft_news/2019/07/new-expanded-definition-for-direct-to-consumer-dtc-lab-testing.html

    Cordially,





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    Andrea Pitkus
    Laboratory Informaticist
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    Buffalo Grove IL
    apitkus@gmail.com
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  • 4.  RE: Direct to Consumer Blood Tests

    Posted 07-24-2019 15:09
    Here is an business perspective on a DTC testing company that is working with Humana. This group is coming clearly from outside the laboratory community.

    "...Enter Everlywell Inc., a three-year-old company providing three dozen at-home kits that test for everything from sexually transmitted diseases to food allergies. Julia Cheek, a 35-year-old former financial analyst, was fed up with a runaround and $2,500 in bills for some lab work a few years ago. So she set out to create a product that would offer consumers easily accessible tests from stores such as Target and CVS; clear results on a sleek app; and, most important, flat fees. Most Everlywell tests cost from $69 to $150."

    https://www.bloomberg.com/news/articles/2019-07-23/at-home-health-tests-get-the-direct-to-consumer-treatment

    Regards,

    Jim

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    Jim Flanigan, CAE
    Executive Vice President
    American Society for Clinical Laboratory Science (ASCLS)
    1861 International Drive, #200 McLean, VA 22102
    o: 571-748-3746 | m: 708-359-5721
    jimf@ascls.org | @jimflanigancae
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  • 5.  RE: Direct to Consumer Blood Tests

    Posted 07-24-2019 15:27
    Hello-

    Another risk to laboratories with this fast growing market of consuming testing is on revenue!

    There are a number of consumer testing categories I spoke about:

    1.  Consumer purchased, consumer collected, laboratory performed testing.  Think of 23 and me, urine drug testing, etc.  Some of these companies allow online purchasing of testing, with test collection kits sent to consumers, who collect specimens and send them to the lab for testing too.
    Business goes to these laboratories rather than those via your community providers and laboratories.

    2.  Consumer purchased, consumer performed testing, such as home pregnancy test or ovulation testing.  A number of these are for personal use, and consumers may wish to visit their provider or laboratory performed testing orders and results (the gold standard).

    3.There are some devices emerging in the market too like consumer performed, app/device interpreted results  They appear between 1-2, and also may pose a risk to traditional laboratory testing.   Patients may not feel the need to go to a provider, preferring the convenience of self diagnosis, interpreting medical problems.  They may mis diagnose themselves, which may result in their illness becoming worse, and resulting more expensive care.

    More food for thought....

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    Andrea Pitkus
    Laboratory Informaticist
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    Buffalo Grove IL
    apitkus@gmail.com
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  • 6.  RE: Direct to Consumer Blood Tests

    Posted 07-24-2019 15:42
    Andrea,

    Thanks for these good summaries of rapid change in the laboratory business.  I also wonder about the impact of developments such as Cologuard, on the overall hospital and clinic system.  I am sure that there are other examples such as this.

    Sue

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    Susan Stalewski
    Director Academic Initiatives and Planning
    University of Wisconsin Milwaukee
    West Milwaukee WI
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  • 7.  RE: Direct to Consumer Blood Tests

    Posted 07-25-2019 14:11
    Hello-

    Thank you, Sue.  Yes, that's another great example.  However, from commercials and their website, looks like an order is required from a physician to gain access to the Cologuard test kit below.  Interestingly, Amazon offers CLIA waived FIT testing for sale on their website too.

    Physician perspectives on Cologuard:  3 GIs share their thoughts on Exact Sciences' Cologuard
    Beckersasc remove preview
    3 GIs share their thoughts on Exact Sciences' Cologuard
    Exact Sciences' colon cancer screening test, Cologuard, is polarizing. The test's noninvasive nature makes it a popular alternative for colonoscopy-fearing patients, but gastroenterologists are conflicted. According to a 2014 study, published in the New England Journal of Medicine study and sponsored by Exact, the test has 92 percent sensitivity rate when detecting colorectal cancer, a 42 percent sensitivity detecting precancerous lesions and a 69.2 percent detection rate polyps with high-grade dysplasia.
    View this on Beckersasc >






     Home Colon Cancer Screening | Cologuard® | Risk Info
    Cologuardtest remove preview
    Home Colon Cancer Screening | Cologuard® | Risk Info
    See risk info & talk to your doctor. Rx only. Read about Cologuard®, a noninvasive colon cancer screening test for patients 50+ at average risk for colon cancer.
    View this on Cologuardtest >

    Anyone else have other examples they have seen?

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    Andrea Pitkus
    Laboratory Informaticist
    --
    Buffalo Grove IL
    apitkus@gmail.com
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  • 8.  RE: Direct to Consumer Blood Tests

    Posted 08-02-2019 22:01
    I would also share that ASCLS has a position paper in support of direct access testing.  President Cindy Johnson recently posted a volunteer opportunity for a task force to review our Position Papers to ensure they are still relevant and up-to-date for our members.  This will be one up for review!

    https://www.ascls.org/advocacy-issues/position-papers 

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    Deb Rodahl, MLS
    Vice President Operations
    St. Joseph's Hospital

    ASCLS Past-President
    @DebRodahl

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