Discoveries in Health Policy

Ideas for or from an evolving healthcare system

Tuesday, December 23, 2025

"AI, Please Find Me 10 Important Genomics Headlines from the Past Month"

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Header:  What do you get if you ask AI for "Ten Important Genomics Headlines from the Past Month?" While I was grocery shopping, i...
Sunday, December 21, 2025

Two Fascinating AI Tasks: (1) Windows Software Repair; (2) A New Viewpoint on Point of Care Testing

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 I had two unusually interesting experiences with AI at Work this week.  In one, Chat GPT diagnosed a quite arcane computer software problem...

Brief Blog: CMS Unleashes Major Drug Pricing Proposals

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 If you want to bury something, CMS says release it on Friday night.   If you really want to bury it, use the Friday night before Christmas ...

Brief Blog: CMS Updates Price Transparency

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Header: CMS is arguing for important updates to its Price Transparency rules . See: News at Fierce Healthcare here . CMS press release here ...
Friday, December 19, 2025

AMA Posts Agenda for Palm Springs AMA CPT Meeting (Feb 5-7, 2026)

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Header: AMA has posted the complete agenda for the February 5-7, 2026, AMA CPT editorial meeting in Palm Springs. Note that pathology/labora...

More Big News: HHS Request for Information - Artificial Intelligence Reimbursement!

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Header:  HHS Issues Important New RFI on AI Reimbursement - Connections to Digital Pathology. It's been a big several weeks for news re...
Wednesday, December 17, 2025

A Little More About WISeR: Medicare's Rapidly-Arriving Pre-Authorization by AI

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  WISeR   is the recently-announced, rapidly-arriving demo program for AI-Prior Auth in Medicare Part B. None of the target services are lab...

Rakha et al. 2026: New International Consensus Criteria for HER2 Low & Ultralow

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For several years, there's been steady news about using drugs or combinations in ultra-low Her2 categories.   See a new concensus articl...
Tuesday, December 16, 2025

MolDx on the Podcast Circuit: Gabriel Bien-Willner @ DIASORIN

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The DIASORIN Podcast, "Beyond the Result," brings us an interview with Dr Gabriel Bien-Willner.  It's titled, "The Payer ...

MedPAC 2024: How Medicare Thinks About AI Reimbursement

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We have more and more emphasis in genomics on AI and bioinformatics, so the way CMS thinks about software is relevant. A current article by...

From ESMO: Requirements for AI-based Biomarkers in Oncology

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 At Linked In, Josie Hayes flagged an important consensus new article from European Society of Medical Oncology.   Her note is here .   Hay...

Pierre Arsene: LBX Stocks Raise $50B in Market Cap This Year

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I haven't tried to replicate the math, but at Linked In, Pierre Arsene repors that liquid biopsy stocks generated $50B in market cap thi...
Sunday, December 14, 2025

Unprecedented; SENATE Wants to Hear Your Coding - Innovation Problems

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Update.  Senator Cassidy has exchanged letters (and press releases) with the AMA on a number of coding topics, RUC, CPT membership, etc.  I ...
Saturday, December 13, 2025

Scott Gottlieb in JAMA: AI Can Solve Productivity Challenges

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 I enjoyed this article alot, and it's very germane to current hot topics at CMS (and AMA).   Here's an AI picture, an AI summary, a...

What the Hell is MAHA ELEVATE?

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You've tried to at least recognize what the new programs ACCESS and TEMPO mean (at CMS and FDA, respectively, but they interact...) Her...
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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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