Discoveries in Health Policy

Ideas for or from an evolving healthcare system

Monday, November 3, 2025

Podcast: MedTech Talk. Valuation bubble; Reimbursement challenges.

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Recently I ran across the podcast, MEDTECH TALK, and I'll mention a few that caught my attention.  (I'm citing a couple from 2023, 2...

CAP's Newest Podcast - CIPI Council on Informatics and Pathology innovation

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 CAP launches a new podcast, CIPI CONNECTIONS. ### CIPI Cup One of the several Councils of the College of American Pathologists (CAP) is CIP...
Sunday, November 2, 2025

CMS Releases PFS Final Rule Despite Shut-Down. OPPS Final Rule Pending.

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Each fall, CMS normally releasing the final PFS rule and final OPPS rule on November 1, giving them 60 days to take effect (January 1).   CM...

PLA Codes at Novitas: Vastly Less Controlled than at MolDx

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The Novitas MAC seems to go through one payment disaster after another , with notoriously high and bizarre-looking payments for 81408 (rare ...
Thursday, October 30, 2025

Chat GPT Asks: How Do Commercial, Medicare, and Medicare Advantage Rates Compare?

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The point of this blog is just to show how Chat GPT 5 performs, to a request for a medical policy essay. Issue:  Now and then I see an artic...

AMA Releases PLA Applications for 4Q2025

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 Each quarter, AMA receives and processes a couple dozen PLA code applications.  The ones for this quarter are posted.  There will be an AMA...

AMA Publishes Summary of Panel Actions for CPT September 2025

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You may have attended AMA CPT September 2025 for its infamous " Tab 94 ," the proposal to create a novel coding appendix (sort of ...
Wednesday, October 29, 2025

Legislation Watch: The Health Technology Investment Act of 2025; S. 1399

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It's become a cliche' that most action occurs in the Executive Branch, with a sleepy agenda on the Hill. But one topic of interest i...

PBS Runs Documentary on the Life of Secretary of Health, RFK Jr

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This week, I watched the two-hour documentary on PBS Frontline about his career and controversies.  See the video (currently streaming)  her...

Senate Letter Criticizes the "AMA Monopoly" on the U.S. Coding System

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October saw a sharply worded letter from Senator Cassidy to the AMA, criticizing the "monopoly" (his term) on the US main coding s...

Science Policy; Banned Words at NIH; Is This the Time to Do a PhD?

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Two interesting science policy articles this week.   I think both are firewalled, so I'll include short summaries.  Here are the titles:...
Friday, October 24, 2025

Peer Review Is Too Slow; How Impactful Can AI Be?

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In Annals of Internal Medicine, Kieran Quinn et al. ask, how can we re-think how we disseminate medical research?   Can we expand the statu...

Alzheimer tests and FDA: Location, location, location.

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HEADER:  FDA’s 2025 Alzheimer’s test approvals reveal a new split in strategy—Fujirebio’s plasma ratio test is indicated for centers for dia...

AMA Upgrades Its RVU Database - RBRVS Data Manager

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AMA creates CPT codes, an obligatory code set for communications between providers and payers in the US, under HIPAA law.  It also values th...

ARPA-H Gets New Leader: Alicia Jackson

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 ARPA-H was recently in the news for its major initiatives in oncology and oncology diagnostics (ADAPT).   (Puzzlingly, this burst of agency...
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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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