a16z Podcast

Labs for Diagnostics: Then, Now, and Next

Mar 17, 2020
Dave King, Executive Chairman and former CEO of LabCorp, dives into the fascinating evolution of diagnostic labs over the last 50 years. He discusses how specialized tests like DNA profiles have become commonplace and the pressing challenges of healthcare reimbursement. King also explores the future of lab diagnostics, focusing on electronic health record integration and the rise of value-based care. With insights on innovations such as non-invasive prenatal testing, he highlights the critical need for coordinated healthcare efforts.
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ANECDOTE

Lab Corp's Origin

  • In 1969, lab results took 5-6 days, hindering patient care.
  • Dr. Jim Powell's idea of a central reference lab sped up this process.
INSIGHT

Range of Lab Tests

  • LabCorp performs around 4,400 tests, categorizing them as routine or esoteric.
  • Esoteric tests use non-standard methods, like DNA or specialized thyroid testing.
ANECDOTE

Mainstreaming Tests

  • Cystic fibrosis testing became mainstream after ACOG recommended it for all pregnant couples.
  • This shows how clinical need and guidelines drive test adoption.
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