As of this year, home sleep tests and auto CPAP titrations for OSA (with some exceptions) are now mandated by some major carriers as of 2012, like Aetna & United Health, drastically reducing physician and sleep lab/ctr compensations. More insurance companies are likely to follow....How is this affecting sleep physicians' patient care, practice, and reimbursements? Who thinks this will bring seismic change to the landscape of sleep medicine and industry? Will many sleep centers/labs close up because of this in favor of large corporations that do high volume at low cost like dialysis centers? Relevant thoughts, facts, and educated guesses will be appreciated...