Discoveries in Health Policy

Ideas for or from an evolving healthcare system

Wednesday, January 25, 2023

MolDx Updates Several Coverage Assessment Checklists

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The MolDx program uses a number of checklists and Excel documents to solicit and organize information for test review.   Some of the documen...

MolDx Publishes Transcripts from November Transplant Meetings (Heart/Lung and Kidney/Liver)

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Last November, MoLDx held full-day public meetings regarding evidence for use of novel molecular tests in transplant rejection, one day for ...
Friday, January 20, 2023

Brief Humor: ChatGPT Explains Strength of Evidence, and Specificity, Sensitivity

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The currently-open-access AI service, CHATGPT, was asked about hierarchy of evidence, other factors for clinical study validity, and sensiti...

A New White Paper: Liquid Biopsy for Comprehensive Profiling, Reimbursement and Coding

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NEW 2023 White Paper on Liquid Biopsy CLICK HERE . ______________________________ Background - My Spring 2022 White paper Last spring, in Ma...
Thursday, January 19, 2023

Very Brief Blog: CGS MAC Posts Revision of "Histochemistry" LCD

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 In new-and-revised LCD news, the CGS MAC has posted a revised LCD for histochemistry, for public comment.   The revision, posted January 19...

Medicare Updates its Deadly "Statistical Extrapolation" Rules for Recoupments

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For many decades, Medicare has used a statistical sampling and extrapolation method to impose large recoupments on providers.  For a hypothe...

Very Brief Blog: Gapfill Process for 2023 Starts at CMS

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In December 2022, CMS released CR13023, annual update for lab fees and policies for 2023.  Find it here . 66 codes appear to be marked for &...

AMA Posts Winter Quarter 2023 PLA Code Proposals

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AMA takes quarterly applications for PLA codes (proprietary laboratory analyses) and rapidy shepards them through a review committee and onw...
Wednesday, January 18, 2023

Very Brief Blog: ChatGPT DIscusses Lab Industry Challenges, Outlook for Clinical Genetics

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In the selections below, I asked ChatGPT three questions about the U.S. lab industry.   1) Challenges facing the industry, 2) How AI might i...

Very Brief Blog: ChatGPT: Performs Well on U.S. Medical Board Exams

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The suddenly wildly popular application, ChatGPT ( AI to answer nearly any question, with answers in paragraph form ) will perform well on U...

Brief Blog; OIG Issues Report on 2021 Lab Spending at Medicare; 81408 Catastrophe Continues

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 On December 19, 2022, the OIG issued its annual report on Medicare lab spending.   The headline is, "17% increase from 2020, driven by...
Tuesday, January 17, 2023

Mini Journal Club: Liquid Biopsy in Colorectal Cancer Relapse & Therapy

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Press release by Natera and a publication in Nature Medicine, using circulating tumor DNA to predict chemotherapy benefit after surgery for ...

Very Brief Blog: Consolidation in Genomic Services: Pierian et al.

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 An open access article at Genomeweb announces a merger in the genomic services space. Pierian, Seven Bridges, and UgenTec will united und...
Monday, January 16, 2023

Regulatory Corner: The UCSF-Stanford Regulatory Science Summit; Videos Online

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New to me, on January 8, 2023, the joint UCSF-Stanford regulatory science institute "CERSI" held a summit with top flight guest sp...
Sunday, January 15, 2023

Finding: Payers Vary in What Evidence They Cite; Tufts Study on drug evaluation methods

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The Tufts health economics group has a new article out looking at how payers vary alot in the evidence they site for the same service.   The...
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Bruce
Bruce Quinn MD PhD is an expert on health reform, innovation, and Medicare policy. He helps both large and small companies understand and overcome hurdles to commercialization, as well as craft business strategies for a changing environment. CONTACT Dr. Quinn through www.brucequinn.com. BACKGROUND: Dr. Quinn has worked in academic medicine, Accenture business strategies, and for the Medicare program. EDUCATION: Stanford MD/PhD, MIT Postdoc, Kellogg MBA.
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