[Depth] American Medical IVD Lab Oligarch: Quest and Labcorp Competition!

The IVD industry is divided into upstream raw material suppliers, midstream instruments and supporting reagent manufacturers, as well as downstream hospital inspection departments and third-party independent laboratories. In developed countries such as the United States, Europe and Japan, independent laboratories began to develop as early as the 1960s and are quite mature. China's independent laboratories started in the 1990s due to institutional reasons, and did not begin to develop until after 2008. They are new things, and everyone is still groping for progress. Therefore, the experience of the United States, especially the development history of the two giants Quest and Labcorp, is worth learning and learning from the industry. The medical captain combined with the experience of dealing with them in the past, sharing with the netizens about their bits and pieces, welcome netizens to make bricks.

1. Introduction to third-party independent laboratories in the United States

According to statistics, laboratory testing services account for only 3% of US health expenditures, but the test results have an impact on the medical diagnosis of 70% of doctors. Therefore, laboratory testing services are still very important.

It is understood that the market capacity of the US laboratory testing in 2015 is 75 billion US dollars, including the hospital's laboratory (about 9,000), private clinic laboratories (about 122,000) and third-party independent laboratories (about 6,000). ).

Third-party independent laboratories are mainly occupied by Quest and Labcorp, accounting for 39% and 31% respectively, and all other independent laboratories are only about 30%. Moreover, through mergers and acquisitions, the two giants have continued to grow this year and the industry is becoming more concentrated.

Second, the sample test should be done by itself or outsourced?

With the rise and development of third-party independent laboratories, it seems that outsourcing the laboratory is a good thing for the hospital. The facts are not so simple. When the hospital management is considering whether to do it themselves or outsource it to a third party, there are still many factors to consider, even in the United States where third-party laboratories are developed.

In particular, the medical reform in the United States in recent years has put the hospital under tremendous pressure on cost control. For the hospital, the laboratory is often a cost center rather than a profit center (this is different from China's national conditions). If outsourced, the benefit is to save 20% of the cost; but the problem is that time cost may increase, quality control is completely dependent on third parties, and experienced inspectors are lost. Hospitals in remote areas will certainly not consider outsourcing, as well as emergency and critically ill patients, and will retain small laboratories if they have high time requirements.

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