Discoveries in Health Policy

Ideas for or from an evolving healthcare system

Sunday, April 19, 2026

The Future Decade in Sequencing: Learning from Past Decades?

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I was given a questionairre on the future of clinical sequencing in the next decade - whether FFPE, or MRD LBx, MCED, and so on.   Of course...
Thursday, April 16, 2026

Get Them Here: Detailed Notes on the April 16 CMS Webinar on PAMA Reporting

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 On April 16, 2026, CMS provided a one hour webinar on PAMA lab price data reporting, which runs May June July, 2026. CMS PAMA Page CMS stat...

Some Thoughts on the Revisions to AMA Appendix S for Software-Intensive Services

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  Header - For a year, AMA has circulated larger and larger revisions of Appendix S, its position on software-intensive services.    Here, I...
Wednesday, April 15, 2026

CMS Inpatient Proposed Rule: Canning the Fast Track to NTAP (!)

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In 2020, the first Trump adminstrationi proposed fast track routes to Inpatient NTAP (new technology add on payment) and fast track to cover...
Tuesday, April 14, 2026

CMS Releases Inpatient Proposed Rule

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 CMS has released the Inpatient Proposed Rule.   Find it here: https://www.federalregister.gov/documents/2026/04/14/2026-07203/medicare-prog...

AMA Releases the Biggest Batch of PLA Applicants Ever

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Just two weeks ago, AMA released 29 new and finalized PLA codes, April 1 ( here ). Here's the PLA home page: https://www.ama-assn.org/pr...
Monday, April 13, 2026

Friends of Cancer Research: 3-Hr Webinar on "External Control Arms"

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 When you have a one-arm trial, you need a comparison group - the general problem presented by "External Control Arms." Catch up w...
Sunday, April 12, 2026

House Hearing on Medicare Fraud: Comparison to CMS CRUSH Proposal

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CMS released its CRUSH anti-fraud proposals around February 26.   At the beginning of the month, February 3, the House Energy & Commerce...

College of American Pathologists, CRUSH & Genomics Fraud; Doesn't Like National MolDx

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Since comments closed on March 31, I've highlighted several groups that commented, such as ACLA and the BCBS Association.  Both supporte...
Thursday, April 9, 2026

Tamara Syrek Jensen - The Medtech Strategist Interview

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Medtech Strategist has released an interesting podcast interview.   Learn about Tamara Syrek Jensen's career at CMS, much of it in the C...

CMS Webinar on PAMA Lab Data Submissions: Video April 16,

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Here's new from CMS about PAMA sales price reporting, due at CMS in May-June-July 2026. The live webinar is sold out, but hopefully they...

Phillips et al in SCIENCE: Diagnostics and Policies for Value

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In the April 9, 2026, issue of SCIENCE, see an article by Phillips, Horn, & Califf on the value of diagnostics and good diagnostics poli...
Tuesday, April 7, 2026

CMS "CRUSH" Comments Website is Flaky

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Update - The website is still flaky, but a bit more on that.  If you search for ACLA, you will in fact pull up 1 thing, the ACLA comment.  T...

Released:; Chaihorsky et al., A New White Paper on the "Laboratory 2.0" Vision

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 At Linked In, see a new 16-page paper about the vision for "Clinical Laboratory 2.0," by Chaihorsky, Van Ness, Cooper, and Shotor...

Chat GPT Can Now Write 20-page Reports with 30 Citations ("Deep Research")

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My subscription version of Chat GPT ($20/mo) recently got a new function called "Deep Research" (an option on the left-hand menu.)...
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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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