Cost-Per-Test: Exploring the What and Why (2024)

Over the next three posts, we will delve into the cost-per-test metric, a crucial calculation for laboratory cost and financial management. This metric involves determining the cost associated with conducting a single diagnostic test. In this post, we aim to address two fundamental questions about cost-per-test: "What is it?" and "Why use it?" The equally important question of "How to calculate?" will be addressed in the following post.

What is Cost-per-Test?

So, what exactly is cost-per-test? Basically, it calculates the cost incurred to perform a single test. While the concept seems straightforward, obtaining accurate results can be challenging. Research on calculating the cost-per-test reveals that it is a financial metric used to quantify expenses related to specific laboratory tests, encompassing direct and indirect costs.

In this post, we challenged the conventional classification of costs as either direct or indirect, especially for laboratory expenses, where indirect costs often overshadow direct costs in terms of both number and value. We proposed to use material, equipment, or overhead costs as high-level classifications for costs. The basic calculation for cost-per-test involves dividing the total cost associated with a particular test by the total number of tests conducted. It is crucial to include all costs in this calculation. The following post will delve into various methods of calculating the cost associated with a test, a topic that is big and, rightly so, contested.

Why Calculate Cost-per-Test?

Understanding the makeup of the cost-per-test metric is relatively simple, but its value becomes evident when questioning why you need it. Running a diagnostic facility is, fundamentally, a business. Two vital functions, finance, and cost management will ensure business success and sustainability.

Laboratory Finance Management Overview

At its core, laboratory finance management revolves around allocating and optimizing financial resources. Balancing the provision of quality diagnostic services with the economic well-being of the business is achieved by activities like budgeting, revenue cycle management, and more. Laboratory finance management is typically overseen by a lab director, manager, or financial controller, with administrative staff handling operational aspects like billing and accounts receivable.

Laboratory Cost Management Overview

Managing costs, on the other hand, entails identifying, controlling, and optimizing expenses associated with daily operations. As a more operational function, it is typically performed by laboratory or operations managers, often in collaboration with finance, procurement, and quality assurance managers. Effective cost management requires a strategic approach, often involving creative solutions to enhance efficiency and allocate resources effectively.

Where Does Cost-per-Test Fit In?

Both finance and cost management can only be effective with support from data. A concise, predictably repeatable, and easily interrogated cost-per-test calculation plays a crucial role. How a calculated cost-per-test supports finance and cost management becomes apparent when looking at the specific activities of finance and cost management.

Finance Management Functions:

  • Budgeting:Predicting and allocating financial resources to various laboratory operations. An accurate cost-per-test offers granular insights into specific costs for each test, supporting the creation of realistic budgets and identifying areas for informed budget adjustments.
  • Revenue Cycle Management:Optimizing financial processes, managing billing, and ensuring timely, accurate collection of payments. Cost-per-test calculations align charges with actual costs, improving billing accuracy and smoother collections.
  • Cash Flow Management:Maintaining a healthy cash reserve to cover daily operational expenses. Predicting accurate costs over time is supported by a precise cost-per-test, allowing you to anticipate when higher-cost tests might impact cash reserves.
  • Investment Planning:Strategic decisions regarding fund allocation for automation, technology upgrades, equipment purchases, and facility improvements. An accurate cost-per-test is vital for evaluating the financial feasibility of such investments, providing a detailed understanding of current costs for different tests.

Cost Management Functions:

  • Cost Identification:The ability to categorize all laboratory costs is crucial, and a cost-per-test calculation aids in interrogating and understanding the impact of specific expenses.
  • Cost Control:A significant function that drives reduced cost without compromising service quality. A well-articulated cost-per-test helps identify areas of inefficiency or overspending, facilitating targeted cost-control measures.
  • Efficiency Improvements:Operational efficiency improvements based on streamlined workflows or improved processes are aided by cost-per-test calculations, especially when performing comparative studies, either internal or against external benchmarks.
  • Vendor Management:Negotiating with suppliers for more favorable terms and discounts for bulk purchases. Cost-per-test insights into costs associated with different tests and vendors enable informed negotiations for better pricing and terms, contributing to cost management.
  • Cost of Quality:Quality control, including instrument calibrations, control runs, and facility cleaning and sterilization, often comes at a high price. A cost-per-test analysis informs the laboratory of the actual cost of quality, helping strike a balance between cost control measures and the need for quality.

Conclusion

In an era of increasing regulatory pressure for lower-cost tests, effectual financial and cost management, supported by proper cost control, becomes more crucial. The improvements discussed above, improving the efficiency and effectiveness of financial management, underscore the significance of cost-per-test calculations.

Cost-Per-Test: Exploring the What and Why (2024)
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