Don't blame Bostwick. It is not his fault that Laboratory Testing has changed. It used to be a revenue center. The more you tested the more money you made. Now its a cost center; the less you test, the less it costs the network you are part of. And everyone has to join networks now. The independent surgeons that used to benefit from revenue sharing models, now are now being bought by the hospitals that will want them to do surgery rather than sell ancillary services that subtract from the bottom line.
The premise that Bostwick was built on - more tests (whether needed or not), the better - no longer is valid. Success used to be volume-based. Now it is value-based. Doing unecessary tests just because you can do them is now penalized rather than rewarded. The insurance companies, including Medicare, has figured out the game and no longer want to play. With an aging population and a decreasing tax-base Medicare cannot afford to support the fee-for-service and revenue-sharing scams.
Management can deny this reality, but the financial investors will never get a good return on this now-flawed model. The owning and controlling investment bankers will eventually pull the plug on an essentially flawed concept that is rapidly fading. Upper management knows this and now each individual is trying to maximize his personal compensation before Metal Mark pulls the plug or chops up and sells the remaining assets while they still have any value.
Game over.