2019 PAMA Survey The Impact of PAMA Cuts on Your Lab and Your Patients Question Title * 1. How have the cuts in the Clinical Lab Fee Schedule (CLFS) for Medicare impacted your laboratory services to patients? (Please check all that apply). We have not been impacted by the cuts. We changed our test menu. We refer more tests out. We laid off staff. We dropped to waived testing only. We will not renew our maintenance contracts. We plan to shift our patient population overtime. We will not update our equipment. We closed our lab. Other (Please specify) OK Question Title * 2. Rank each of the four impacts below in terms of how the Medicare’s CLFS cuts have impacted patients. 1 = Highest Impact 4 = Lowest Impact 1 2 3 4 Financial costs to the patient (e.g. transportation, more time off from work) 1 2 3 4 Timing for patient diagnosis or treatment planning 1 2 3 4 Lack of patient compliance with test orders 1 2 3 4 Risk of incomplete diagnosis or misdiagnosis OK Question Title * 3. How much do you agree with this statement: After taking all the steps we could to absorb the combined 20% cut (over the last two years) in many routine lab services, I am concerned that we face the increasingly difficult task of adapting to the next cut. Strongly disagree Disagree Somewhat disagree Neither agree nor disagree / Not sure Somewhat agree Agree Strongly agree OK NEXT