Discoveries in Health Policy

Ideas for or from an evolving healthcare system

Tuesday, August 25, 2026

AI Guest Author: Waiting for CRUSH Regulations from OMB

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  CRUSH at OMB: The Next Stage of a Twenty-Year Medicare Anti-Fraud Campaign AI Corner: Chat GPT 5.6; 8-25-2026 The next major Medicare and ...
Sunday, August 23, 2026

CRUSH Reaches White House / OMB, Who Will Release the Proposed Regulations

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  NEWS: CMS Sends Major CRUSH Anti-Fraud Rule to OMB The February request for information has quietly become an actual proposed rule, with n...
Saturday, August 22, 2026

Blog 5 of 5: AI Rewrites My Human Blog #3 (88305 Super-Providers)

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In this series of 5 blogs, Blog 3 (national and super-provider utilization) was written by Quinn by hand.  Here is  Blog 3 , rewritten from...

Blog 4 of 5; We Discover the Source of the CMS 88305 Data: Mesta et al., June 2026!

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50-word summary CMS’s July 2026 CY2027 Physician Fee Schedule proposal reproduced striking Maryland data suggesting CPT 88305 may be overva...
Friday, August 21, 2026

88305: Blog 3 of 5: National and Busy-Individual Usage for 88305 in Medicare Part B

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In summer rulemaking, CMS proposed surgical biopsy billion-dollar-code 88305 as a mispriced code.  Blog #1 here .    I also had Chat GPT res...
Thursday, August 20, 2026

FDA Approves De Novo Software that Makes Diagnosis on Brain MRI: NeuroPacs

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August 7, we published a blog on software diagnosis in radiology and asked how fast it might come to pathology.    Here .  And we've alr...

88305: Blog 2 of 5: The Ancient History of Surg Path Coding (88305 1960s?)

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Here's a challenge I gave to Chat GPT 5.6.  What's the origin of the coding system for surgical pathology - biopsies 88305, etc.   C...
Wednesday, August 19, 2026

88305: Blog 1 of 5: CMS Proposes Review of Code 88305. Chat GPT Writes White Paper Report.

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 In July, when CMS released the proposed policies for physician fee schedule aka Part B, it included a proposal to review the valuation of ...
Tuesday, August 18, 2026

Chat GPT Reviews History of McDermott Plus Consulting - After News from Politico

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We're waiting for confirmation of a news item in Politico that McDermott Plus is closing in August 2026. While we wait, Chat GPT ran a i...
Sunday, August 16, 2026

New Proposal Introduces Broader Authority for Political Input to NIH Grant Decisions

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Back in May 2026 , OMB issued a proposed rule that would lay out the authority and framework for political appointees to have a much stronge...

Why CMS MAC Questions for Synuclein Diagnostics Miss the Main Point

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This week, on August 20, several Medicare MACs will hold a public session on the literature on alpha-synuclein tesitng for Parkinson's a...

You Can Still Register for "CAC" Meeting on Synuclein Testing (Neurodegeneration)

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On Thursday, August 20, 2026, Noridian and some other MACs will hold a listen-only conference on neurodegeneration, specifically, use of alp...
Saturday, August 15, 2026

Patient Rights Group Sues AMA Over the "CPT Monopoly"

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 AMA CPT was in the spotlight in mid-July, when CMS released a "request for information" that was highly concerned about both the ...
Friday, August 14, 2026

AI Guest Author: How Far Away Are AI-Generated Path Reports? Closer Than You Knew! (Ver2)

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 Only seven days ago, we published a white paper asking, “How Far Away Are AI-Generated Pathology Reports?” Since then, we encountered seve...

AI Guest Author: A New White Paper, The Ten-Year Outlook of Pathology and AI

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This week, I ran across an interesting article in Modern Healthcare on radiology, AI, and rural hospitals.  And that led to a new 22-page r...
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About the Author

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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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