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* Multispecialty groups, composed of physicians from clinical specialties as well as radiology and pathology, are another practice model.

In some case, these may be large groups controlled by an HMO or other large healthcare organization.

In others, they are in essence clinician group practices that employ pathologists to provide diagnostic services for the group.

These groups may own their own laboratories, or, in some cases may make controversial arrangements with " pod labs " that allow clinician groups to lease space, with the clinican groups receiving direct insurance payments for pathology services.

Proposed changes to Medicare regulations may essentially eliminate these arrangements in the United States.