Discoveries in Health Policy

Ideas for or from an evolving healthcare system

Thursday, September 3, 2026

Humor: Sorry We Have No Design Suggestions

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Sorry, We have No Design Suggestions For This Slide. (click to enlarge)

FDA is Really Doing It: Downclassify CDx based on ISH-FISH (August 2026)

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  FDA Quietly Moves Oncology ISH/FISH Companion Diagnostics From PMA to 510(k) A Biden-era deregulatory promise survives the LDT court loss ...

MolDx Issues Bonanza of New LCDs in Late August 2026

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 MolDx issues a bonanza - a triplet - of new proposed LCDs. Two provide defined coverage.  One general NGS LCD for heme malignancies,  one f...
Wednesday, September 2, 2026

MolDX MACs Delay Finalization of Prelude DCISion-RT LCD

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MolDx released a draft non coverage LCD for the DCISion-RT test last year, and it's not finalized yet. It may be a while: they've an...

OPPS Rule: Ditching Digital Pathology from CLFS and CLIA? Stakeholder Organizations Comment

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(Rapid AI Blog) This summer, in both OPPS and PFS proposed rules, CMS proposed to "nix" software-intensive lab services from the C...
Tuesday, September 1, 2026

Is Digital Pathology Close to the BIllion-Dollar Explosion in Value?

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Mini Summary: Structured pathology reporting is quietly laying the groundwork for AI-generated reports. We argue that this will transform di...
Sunday, August 30, 2026

You've Never Seen This: The CMS Digital Pathology Rule as Exciting "Harvard Case Study"

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 New from Discoveries in Health Policy (DHIP) ## This DHIP Case Study uses the Harvard Business School approach to make an unusually dense M...
Wednesday, August 26, 2026

Piling on to Software as a service; MEDPAC Plans

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 Everyone's piling onto Software as a Medical Service (SaMS), and related terms.  AMA CPT has been working on its Appendix S software co...

Revisited: CAP and CMS Go in Opposite Directions on Digital Pathology

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In July rulemaking, in both OPPS (hospital outpatient) and Physician (aka Part B) proposed rules, CMS announced it will evict digital pathol...

Very Brief Blog: CMS OPPS CY2027 Comment Due Aug 31

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There was a lot of action in summer rulemaking - both the OPPS and PFS (outpatient & physician part b) rules. The deadline for comment o...

AI Reviews: ADAPT OR BECOME IRRELEVANT - Alternative Visions for Pathology

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You may have seen it cited on Linked In - a new position paper on the future of pathology called,  “Adapt or Become Irrelevant: The Patholog...
Tuesday, August 25, 2026

AI Guest Author: Waiting for CRUSH Regulations from OMB

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  CRUSH at OMB: The Next Stage of a Twenty-Year Medicare Anti-Fraud Campaign AI Corner: Chat GPT 5.6; 8-25-2026 The next major Medicare and ...
Sunday, August 23, 2026

CRUSH Reaches White House / OMB, Who Will Release the Proposed Regulations

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  NEWS: CMS Sends Major CRUSH Anti-Fraud Rule to OMB The February request for information has quietly become an actual proposed rule, with n...
Saturday, August 22, 2026

Blog 5 of 5: AI Rewrites My Human Blog #3 (88305 Super-Providers)

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In this series of 5 blogs, Blog 3 (national and super-provider utilization) was written by Quinn by hand.  Here is  Blog 3 , rewritten from...

Blog 4 of 5; We Discover the Source of the CMS 88305 Data: Mesta et al., June 2026!

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50-word summary CMS’s July 2026 CY2027 Physician Fee Schedule proposal reproduced striking Maryland data suggesting CPT 88305 may be overva...
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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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