Yea, labcorp and quest will have to switch to just doing specialty testing. The routine stuff is gonna be a lost cause. The labs of the future will belong to giant hospital chains and in-office labs.
Virtually every physician office in my area is now owned by the large community hospital in the area. Once that happened, labcorp and quest were dropped like a rock. I dont see this trend stopping especially with declining reimbursement and increasing regulation/expenses. Physicians will have to be part of large networks to survive.