Discoveries in Health Policy
Ideas for or from an evolving healthcare system
Thursday, June 25, 2026
The June 25 HHS Update on AI in Clinical Care: Meeting Summary
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In December 2025, HHS announced an RFI on how it could improve access to AI for clinical care. See webpage here , Fed Reg here . (90 FR 60...
Very Brief Blog; Implementing Enhanced CLIA (HR 8890)
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Repr. Dr. Dunn of Florida has introduced CLIA enhancement legislation. Read the 45-page bill here , see a law firm introduction to it, f r...
Gapfill-ology 2026: Variances in MAC Gapfill Proposals Summer 2026
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This year 18 codes are in the Gapfill process, with comments accepted to July 13, 2026. Find the spreadsheet at the CMS CLFS webpage, scroll...
Wednesday, June 24, 2026
The Mystery of Wellpoint Federal (aka NGS MAC) CAC Meetings
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Recently, Noridian announced that on August 20, 2026, there will be a Contractor Advisory Meeting on the topic of tests for neurodegeneratio...
Part 2: DOJ Treasure Trove of Health Fraud:Twelve Themes and Two Defenses
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Yesterday, I published a long blog taking a first look at a 'treasure trove' of over 300 DOJ case summaries and some 300 actual full...
Tuesday, June 23, 2026
Part 1: DOJ Releases Little-Remarked Treasure Trove of Medical Fraud Data
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On June 23, 2026, you couldn't swing a cat without encountering news articles about a big HHS anti-fraud operation. Most of the first-...
AI Guest Column: Digital Pathology Association's 27-page Recommendation for AI SW Validation & Implementation
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[Chat GPT 5.5 Guest Author] ## Digital Pathology AI Moves from “Cool Demo” to Clinical Infrastructure: The New DPA Recommendation Statement...
Follow Up: CMS and Ancient Cobol Claims Processing; RFI for System Change
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A few weeks ago, I published a blog article on the status of "ancient" claims processing systems at CMS - here . By chance, I ...
Monday, June 22, 2026
CMS Coverage History: How "CAC" Meetings Evolved (2004, 2015, 2019)
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Medicare's contractor advisory committees have evolved greatly from 2005, to 2015, to the present (2019 forward). I've put the Me...
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