Discoveries in Health Policy

Ideas for or from an evolving healthcare system

Tuesday, January 6, 2026

ASCO Publishes Two Position Pieces on AI -- AI Has Some Snappy Answers

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The December 10, 2025, issue of THE ASCO POST has two substantial position pieces on ASCO, oncology, and AI.    New Era .   ASCO, AI, Human-...
Monday, January 5, 2026

AI Corner: Chat GPT Thinks for Nine Minutes

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This morning, I asked Chat GPT a question about Medicare Advantage.   I noted that many state that Medicare Advantage is cost saving for pat...
Friday, January 2, 2026

AMA Releases New PLA Codes for January 1, 2026 - AND NEW POLICIES

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Don't miss the January 1, 2026 update on newly awarded PLA codes, because AMA seems to use this channel to convey new (or newly emphasiz...

On a Lighter Note; A Famous Harvard MBA Theory Collides with Mac & Cheese Industry

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Header:  Harvard MBA Theory Collides with Mac & Cheese Industry ### The Harvard MBA theory is from the late Prof. Clayton Christensen, c...
Thursday, January 1, 2026

WISeR AI Program: What Happens When CMS Gives No Clear Guidance Yet Authorizes "AI" Denials?

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The WISeR program for AI-mediated autodenials is coming into effect now .  For a couple dozen procedures, physicians/hospitals will have to ...

CMS Gears Up for Auto-Denials of Nerve Stimulation Code 64568 (WISeR)

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 On December 31, 2025, CMS issued Change Request 14205 (aka Transmittal 13570).  The title is, Implementation of Wasteful and Inappropriate ...
Wednesday, December 31, 2025

Finding Drug Labels - DAILYMED @ NLM NIH

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I usually find drug labels via Google, which may flag the FDA website, or a manufacturer website, or other sources. The CMS OPPS drug passth...

Are We Dumping Good Innovations into a Chaotic "Ecosystem?"

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See an essay at Linked In by the prolific Alex Bendersky on whether it's realistic to expect good results when we dump important health ...

Rouby et al: Can Community Pharmacogenetics Be Cost-Saving?

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Much has been written about pharmacogenetics for 20, maybe 30 years, but basic issues like PGx panel coverage by payors have remained uncert...
Tuesday, December 30, 2025

FDA Opens Comment on Rubrum Petition to Exempt Much AI from Review

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 In October 2025, Rubrum Advising,  in service of Harrison AI, submitted a 34-page petition to the FDA asking for widespread exemptions from...
Friday, December 26, 2025

HUMOR: The World's Most Detailed Apple AIRTAG Instructions

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It's the holidays, we're traveling, we're using Apple Airtags to track luggage and backpacks.  Every two years you change the b...

PopEVE - An Important New Advance in AI-Driven Clinical Genomics

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 Header - PopEVE is a new AI model that is being called "transformative" for clinical genetics. ## See news story at OncoDaily h...
Tuesday, December 23, 2025

CMS Issues Final Lab Fee Schedule for January 2026 (CLFS)

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On December 23, 2025, CMS released the final fee lab fee schedule (aka CLFS) for January 2026. https://www.cms.gov/medicare/payment/fee-sche...

"AI, Please Find Me 10 Important Genomics Headlines from the Past Month"

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Header:  What do you get if you ask AI for "Ten Important Genomics Headlines from the Past Month?" While I was grocery shopping, i...
Sunday, December 21, 2025

Two Fascinating AI Tasks: (1) Windows Software Repair; (2) A New Viewpoint on Point of Care Testing

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 I had two unusually interesting experiences with AI at Work this week.  In one, Chat GPT diagnosed a quite arcane computer software problem...
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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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