Discoveries in Health Policy

Ideas for or from an evolving healthcare system

Thursday, February 5, 2026

Legislation Delays PAMA, Sets New Base Year

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Header:  PAMA Cycle Delayed to 2027, With New Base Year 2025 Background PAMA is legislation passed in 2014, one part of which planned for th...
Wednesday, February 4, 2026

Google & ICER (Humor)

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I was on a call where someone mentioned the ICER health econ organization.  I haven't heard of them for a few months.  I googled ICER.  ...

Department of Justice and $50M Florida Genetics Case (Rolls Royce edition)

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Header:  Florida Laboratory Owner Pleads Guilty to $52M Medicare Fraud Scheme Involving Genetic Tests Read all about it; https://www.justice...

Chat GPT Tells Us: What is AMA CPT Appendix S? (The Current Public version)

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Anyone can see that, on the upcoming AMA CPT agenda, the AMA CPT "Appendix S" is up for revisions [2-5-26, Tab 68].  This is the ...
Tuesday, February 3, 2026

AMA Updates Its Revised Revisions to Appendix S ("digital services")

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Header: AMA continues to work on revisions to " Appendix S " of the AMA CPT, which covers predominantly digital services.    The A...

MCED Legislation Survives into Final Budget Bill

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  Early Reports: MCED Medicare Legislation Passes Both House & Senate in Budget Bill. The recent draft federal budget legislation includ...

T2 Biosystems to Wind Down Operations

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While a Cepheid GeneExpert test was a top Part B code in 2024 ( here ), most new technologies for infectious disease, including point-of-car...

Natera Files Signatera MRD Test with FDA

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Header - Natera files SIGNATERA test with FDA.   Keynote application is muscle invasive bladder cancer. ### News item assembled by Chat GPT ...
Sunday, February 1, 2026

Katie Miller: 50-Minute Podcast with RFK Jr (AI Report)

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I asked Chat GPT 5.2 to review and summarize a 50-minute dialog between RFK Jr and podcaster Katie Miller.   Find the whole podcast  here . ...

AI Handles a NYT "Diagnostic Dilemma" Patient

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On February 1, 2026, the NYT medical puzzle was a woman with abdominal pain.  I gave Chat GPT 5.2 the first half of the article, then asked ...
Thursday, January 29, 2026

Can AI Write a Blog? Bringing Together Two Viewpoints on In-House Sequencing

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The past month, I saw a nice white paper by LabCorp about "Bridging testing gaps by enabling an FDA cleared IVD tumor profiling precis...

How Many Z Codes Are There? How Many MolDx-Registered Labs?

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MolDX and Z codes have been around for well over 15 years now, preceding by several years the new AMA CPT genetic coding system of 2012-2013...
Wednesday, January 28, 2026

OIG Releases Annual Report on Lab Spending: Focus on CY2024

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Header: OIG Releases Report on 2024 Lab Spending. What it is. The PAMA legislation of 2014 requires OIG to issue an annual report on lab spe...
Tuesday, January 27, 2026

Medicare Nerd: Medicare's Confusing Double-Track for Medicare Advantage Policy 2027

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On January 26/27, 2026, the big news was that CMS has announced there is virtually no change in rates for Medicare Advantage in CY 2027.  Th...

Decibio: "Clinical" Increasingly Dominates "Tools"

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Stephane Budel and DeciBio post a four-page summary of some of their recent research on the moving l ine between tools and clinical diagnost...
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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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