Discoveries in Health Policy
Ideas for or from an evolving healthcare system
Thursday, July 16, 2026
Assessing the New MolDx LCD for Transplant Rejection; And Our First LCD Report from Agentic Instructions
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Header: MolDx releases a long-awaited LCD on transplant rejection testing. Clear improvements in coverage and some explanatioins. The actu...
Tying Together: New CLIA Reform RFI, and CMS Summer OPPS/PFS Proposals; All Circle Around Computational Pathology
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Cat III Not on CLFS Over the past two months, CMS omitted new Category III codes for Digital Pathology [Computational Pathology] from CLFS m...
Posted: Agenda for Digital Pathology Europe / London, December
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The agenda for the Digital Pathology & AI Europe conference has been posted over at Linked Iin by Lauren Dennison. Dates are 9-10 Dece...
CMS RFI: CMS Asks, How Should We Update CLIA Regulations?
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Header: CMS Publishes Request for Information: Let's Update CLIA, But How? After several weeks of rumors, CMS has released a formal na...
Wednesday, July 15, 2026
AI Guest Author: Lyric Acquires Well-Known Consultancy "Concert"
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Header: Concert Joins Lyric; by Chat GPT Concert Joins Lyric—Finding a Much Larger Stage for Precision-Health Intelligence Big news arrived ...
AI Finds and Assesses a New Alzheimer Risk Study (Buckley 2026)
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We recently reported the news that Anthem would soon be covering FDA approved pTau217 blood tests, with conditions, as part of dementia work...
Tuesday, July 14, 2026
WaPo Jumps on CMS RFI Against AMA CPT, RUC
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Header: WaPo Slams AMA Hard, Lands Punches Early On Tuesday, July 14, the Washington Post had a headline article ready to run, featuring a l...
CMS Releases Physician Fee Schedule Rule - Proposals for 2027
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On July 14, 2026, CMS released the Physician Fee Schedule (aka Part B rule) as proposals for 2027. Find the early release version here (a...
Things AI Can Do: Analyzing Trends in Today's CMS Lab Experts Meeting
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Today, July 14, CMS held its annual experts advisory committee for the 100-odd codes it is pricing for CY2027. In a previous blog , I showed...
Things AI Can Do - Builds Structured/Merged Transcript of CMS Lab Pricing Meeting - in Minutes
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Header: AI Makes Super-Notes from a Federal Meeting. ## Today, CMS held its professional advisory panel for pricing of new lab tests for 202...
Flurry of News for Alzheimer Diagnostics
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A flurry of news for Alzheimer diagnostics, and we're closing in on the international Alzheimer conference in Toronto, AAIC-26 . Two...
Monday, July 13, 2026
AI Guest Author; CMS TAVR Proposed Revisions & TAVR History at CMS
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In July 2026, CMS released a proposed revision of its coverage policy for TAVR - Trans-vascular aortic valve replacement. The proposal and...
AI Guest Author: History of CMS Coverage of Amyloid PET Scans
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News today of Anthem covering blood-based Alzheimer tests ( here , here , policy here ) reminded me of the tortured history of CMS and amylo...
Thursday, July 9, 2026
MolDx Finalizes LCD: Liver Disease Risk Stratification
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MolDx MACs finalize an LCD, proposed last summer, on "Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Ste...
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...
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