  {"id":160535,"date":"2022-06-10T08:00:09","date_gmt":"2022-06-10T18:00:09","guid":{"rendered":"https:\/\/www.hawaii.edu\/news\/?p=160535"},"modified":"2022-06-09T16:12:37","modified_gmt":"2022-06-10T02:12:37","slug":"pcr-testing-profits-study","status":"publish","type":"post","link":"https:\/\/www.hawaii.edu\/news\/2022\/06\/10\/pcr-testing-profits-study\/","title":{"rendered":"How much profit are private labs earning from <abbr>PCR<\/abbr> testing?"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading time: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2022\/06\/manoa-social-sciences-pcr-testing-profits.jpg\" alt=\"person in a medical gown with a swab\" width=\"676\" height=\"381\" class=\"alignleft size-full wp-image-160540\" srcset=\"https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2022\/06\/manoa-social-sciences-pcr-testing-profits.jpg 676w, https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2022\/06\/manoa-social-sciences-pcr-testing-profits-300x169.jpg 300w, https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2022\/06\/manoa-social-sciences-pcr-testing-profits-130x73.jpg 130w\" sizes=\"auto, (max-width: 676px) 100vw, 676px\" \/><\/p>\n<p>How the federal government\u2019s response to the COVID-19 pandemic created a perfect storm in which private laboratories can earn huge profits from <abbr title=\"Polymerase chain reaction\">PCR<\/abbr> testing while potentially impacting health care premium costs, is described in a <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11606-022-07676-1\">June 9 <em>Journal of General Internal Medicine<\/em> paper<\/a> published by a team of researchers, including three economists from the University of <span aria-label=\"Hawaii\">Âé¶¹´«Ã½<\/span> at M\u0101noa <a href=\"https:\/\/socialsciences.manoa.hawaii.edu\/\">College of Social Sciences<\/a>.<\/p>\n<p>Two major components of the U.S. government\u2019s response to the pandemic are the Families First Coronavirus Response (<abbr>FFCRA<\/abbr>) and Coronavirus Aid, Relief and Economic Security (<abbr>CARES<\/abbr>) acts. While the acts require commercial insurance plans to cover COVID-19 testing costs without any cost-sharing for patients, they are silent on the prices that labs can charge.<\/p>\n<p>&ldquo;In many concentrated insurance markets such as <span aria-label=\"Hawaii\">Âé¶¹´«Ã½<\/span>, insurers have few incentives to negotiate lower prices. They can easily pass these costs onto premiums without losing market share,&rdquo; said co-author <strong>Tim Halliday<\/strong>, economics professor in <abbr title=\"University of Hawaii\">UH<\/abbr> M\u0101noa\u2019s College of Social Sciences and <a href=\"https:\/\/uhero.hawaii.edu\/\"><abbr>UH<\/abbr> Economic Research Organization<\/a> (<abbr>UHERO<\/abbr>) research fellow. &ldquo;The financial consequences of high profit for testing providers are borne by plan sponsors and will likely result in higher insurance premiums other things equal, passing the burden to patients.&rdquo;<\/p>\n<ul>\n<li><a href=\"https:\/\/www.hawaii.edu\/news\/tag\/covid-19-research\/\">Read more about <abbr>UH<\/abbr>\u2019s COVID-19 research<\/a><\/li>\n<\/ul>\n<h2>Finding profit margins<\/h2>\n<p>Using unique <span aria-label=\"Hawaii\">Âé¶¹´«Ã½<\/span> taxation data on monthly sales, the group analyzed how the COVID-19 pandemic affected the revenue and profitability of independent laboratories. The results showed that private laboratories\u2019 revenue followed the volume of <abbr>PCR<\/abbr> tests performed in the state in lockstep. Between May and December 2020, the monthly growth rate of revenue was 8&#37; on average. The researchers estimate that profits per <abbr>PCR<\/abbr> test were at least $10, but the actual number is likely far greater.<\/p>\n<p>&ldquo;The COVID-19 testing pricing policies are as if designed to channel money from taxpayers, employers and workers to testing facilities and insurance companies,&rdquo; said co-author Ge Bai, health policy and management professor at Johns Hopkins Bloomberg School of Public Health. &ldquo;This study revealed key problems affecting the efficiency of the U.S health care system, namely, rigid government rate-setting, price insensitivity of consumers, and misaligned incentives of insurance companies. It highlights an opportunity for policymakers to improve the affordability of healthcare services by focusing on addressing these problems.&rdquo;<\/p>\n<p>According to the researchers, examples of issues that contribute to this situation include:<\/p>\n<ul>\n<li>The Medicare program that sets a static payment rate at $51 per test, which substantially exceeds the cost and fails to reflect the economies of scale.<\/li>\n<li>The <abbr>FFCRA<\/abbr> which prohibits cost-sharing, thus taking away insurance companies\u2019 ability to steer patients away from expensive labs.<\/li>\n<li>The <abbr>CARES<\/abbr> Act that encourages out-of-network labs to set high prices.<\/li>\n<\/ul>\n<p>In addition to Halliday and Bai, other team members include:<\/p>\n<ul>\n<li><strong>Cara Tan<\/strong>, undergraduate researcher in the <a href=\"https:\/\/www.economics.hawaii.edu\/\">Department of Economics<\/a> in <abbr>UH<\/abbr> M\u0101noa\u2019s College of Social Sciences<\/li>\n<li><strong>Ruben Juarez<\/strong>, economics professor in <abbr>UH<\/abbr> M\u0101noa\u2019s College of Social Sciences and <abbr>UHERO<\/abbr> research fellow<\/li>\n<li>Seth Colby, tax research and planning officer, <span aria-label=\"Hawaii\">Âé¶¹´«Ã½<\/span> State Department of Taxation<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The researchers estimate that profits per <abbr>PCR<\/abbr> test were at least $10, but the actual number is likely far greater.<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[301,1411,1417,197,1467,1363,158,1026,9,343],"class_list":["post-160535","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research","tag-college-of-social-sciences","tag-covid-19","tag-covid-19-research","tag-economics","tag-manoa-excellence-in-research","tag-manoa-research","tag-publication","tag-social-science","tag-uh-manoa","tag-uhero","entry","has-media"],"aioseo_notices":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts\/160535","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/comments?post=160535"}],"version-history":[{"count":5,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts\/160535\/revisions"}],"predecessor-version":[{"id":160550,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts\/160535\/revisions\/160550"}],"wp:attachment":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/media?parent=160535"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/categories?post=160535"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/tags?post=160535"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}