Discoveries in Health Policy

Ideas for or from an evolving healthcare system

Wednesday, June 10, 2026

AI Guest Column 02: Does Medicare Still Use COBOL? A Book Chapter by Claude Opus 4.8

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A previous blog entry provided a book chapter, written by Chat GPT, on Medicare claims processing software ("Is it really still in COB...

AI Guest Column 01: Does Medicare Still Use COBOL? A Book Chapter by Chat GPT

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AI CORNER:  Written by Chat GPT. One of a series.  Offered as an example of current AI-managed writing products; not verified. See also: A s...
Tuesday, June 9, 2026

AI Guest Column: Oz and Mulligan on Saving Healthcare Costs

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 AI CORNER: Chat GPT Two Senior CMS Officials on "Saving Costs" - June 2026 MedCityNews, June 9, 2026 (Katie Adams): CMS Dr. Oz on...

CMMI ACCESS Program: Can Well-Intentioned Goals Conceal Adverse Incentives?

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Header:  CMMI produces a JAMA Op Ed on its "ACCESS" technology and chronic care program.  I used an AI-generated essay to explain...

AI Attempts to Classify 100 New PLA Codes (Gets Migraine)

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I asked Claude Opus and Chat GPT to make a classification system for the 102 PLA codes being considered for this summer's Annual Lab Mee...
Monday, June 8, 2026

News Summary: WaPo: HHS Wants to Bring Physicians and AI Together

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  On June 4, 2026, Washington Post has a lead aritlce, "Push to bring AI doctors into American medicine," by Elizabeth Dwoskin. __...
Sunday, June 7, 2026

AMA's New Digital Pathology Codes in "Category III": What If They're Not on the CLFS?

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Key Lesson: In 2026, AMA CPT began assigning whole-slide-imaging digital pathology codes to Category III, rather than the PLA pathway used f...
Saturday, June 6, 2026

How You Get CMS to Liberalize a Burdensome Rule (Case Study: Physical Therapy Orders)

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Why You May Care...  Many stakeholders approach CMS each year with a request to liberalize one or another rule - be it an administrative pol...
Wednesday, June 3, 2026

CMS Releases Data for "87798" Billing in 2024

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On May 21, 2026, CMS released data by lab and by CPT code (also by physician and CPT code) for Part B payments in CY2024. There's been a...
Tuesday, June 2, 2026

Predicting the Scientific Future: From UCSF's Robert Wachter

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Robert Wachter of UCSF is both a medical leader and a futurist. In his newest book, A GIANT LEAP, he discusses AI in medical care.  From his...

CMS Releases Rich Cloud Database for CY2024 Claims, Medicare Part B

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 If you love CMS Part B data, Christmas comes every May or June, when CMS releases extensive cloud data for all labs and all  physician prov...

A New Commercial Source for Rapid Complete Medicare Claims Research LUMA CLAIMS

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CMS has some free databases for Part B claims - like this one for annual Excel spreadsheets and this one for a cloud database x CPT code x...
Sunday, May 31, 2026

Using AI: (1) Finding Half-Remembered Papers; (2) Finding Papers of Major Importance. For: Computational Pathology.

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Summary of This Long Post :Creatively Using AI at Work Case Study: Digital Pathology This blog begins with an unexpectedly mundane task: fin...
Saturday, May 30, 2026

A Must-Read Article: Use of Comprehensive Genomic Profiling in Metastatic Cancer of Medicare Beneficiaries

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JAMA Network Open publishes a must-read paper on comprehensive genomic profiling (CGP) by Chow et al.   The paper headlines "a differen...
Thursday, May 28, 2026

NGS MAC Updates LCD in a Few Weeks

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 I hear many people complain that it takes years - literally, years - to get updates to LCDs, let alone, consider opening a NEW LCD on some ...
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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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