Discoveries in Health Policy
Ideas for or from an evolving healthcare system
Tuesday, July 7, 2026
AI Reports as Part of Thinking? The Falling Friction of Knowledge Work
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Header: AI is making analytical reports cheap enough that they become tools for thinking, not just finished products. (Note - this essay ge...
CHAT GPT Tries to Understand All 600 PLA Codes
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Here's another exercise where we give Chat GPT the ~600 current PLA codes and we ask it to find rhyme or reason in their multitudes. Th...
CMS Publishes Federal Register Rules for Software as a Medical Service (Incl Lab Tests)
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A few days ago, this blog flagged that CMS was proposed to take software-intensive lab tests OFF the clinical lab fee schedule (at least in...
Monday, July 6, 2026
Example of AI Company Research; What's up with Mdxhealth?
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I saw a headline that Mdxhealth received a NASDAQ minimum price warning. July 2. https://mdxhealth.com/press_release/mdxhealth-announces...
AMA Posts PLA Applications for July-August Cycle
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AMA has posted applications (for public comment) for the July-August application cycle. Find them here: https://www.ama-assn.org/system/f...
Palmetto MolDx Shows Up in National News (DCIS)
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Palmetto MolDx and its pending decision on DCIS test coverage has made national news on NBC. The news includes a detailed article as well a...
Thursday, July 2, 2026
Payors, Pathology, and MBA Economics: A New 20p AI White Paper
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Entry point: The June 2026 issue of CAP TODAY features an article on pathology business economics by Dr Thomas Mezzetti. He cites a 2025 ...
The 2027 OPPS Proposed Rule: CMS Wrestles Actively with Software as a Medical Service (SaMS)
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Header: The OPPS proposed rule for 2027 is released. After a couple years of patchwork solutions, CMS adopts broad interim measues for so...
Run, Don’t Walk: AMA CPT Big Changes for Software-Dependent Services
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Run, Don’t Walk: AMA CPT Big Changes for Software-Dependent Services I wrote a long blog on Appendix S a few days ago, here's the concis...
CMS Drops a Bomb on top of AI Lab Policy (OPPS Rule)
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HEADER: CMS Proposes Big Shift for Software-intensive Lab Services See pages 457-462 of the new Hospital Outpatient rulemaking for CY2027: ...
Tuesday, June 30, 2026
Lighthouse Lab Services / July 22 / Webinar on Qui Tam Developments
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Back on April 23 , I posted an AI-driven analysis of a new qui tam court case involving, "MD Labs." Lighthouse Lab Services will h...
Monday, June 29, 2026
A New Go-To Essay on the Value of CDx (from Hannah Mamuszka)
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Hannah Mamuszka, a cofounder of consultancy Alva10, has released a Go-To Essay on the Value of CDx, particularly in a world where drugs are ...
Saturday, June 27, 2026
Humor: AI News Article About My Appendix S Blog
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Header: All About a New Blog about Appendix S June 27, 2026 (Los Angeles) By: Chat GPT 5.5 In a new post at Discoveries in Health Policy , ...
Appendix S from A to Z. Two AI's Review New Appendix S for 2027
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Two AI's Review the AMA's New Artificial Intelligence Coding Rules "Appendix S 2027" See AMA"s press release about e...
AMA CPT: Coding Policy EARLY RELEASES: Cat I, Cat III, PLA, APP S AI, ADMIN MAAA
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AMA has released a website that displays "early release" updates in policy in five areas: Category I Codes Category III Codes PLA...
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