Discoveries in Health Policy

Ideas for or from an evolving healthcare system

Friday, October 16, 2026

MolDx Withdraws Proposed NonCoverage of Prelude DCISionRT (0360U)

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 On October 15, 2026, MolDx announced it was canceling its draft non-coverage LCD for Prelude's DCISionRT.  This follows recent announc...
Thursday, October 15, 2026

LabCorp Gets Bioreference, References 4K Score 81539

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Bioreference acquisitioni by LabCorp features some  carve-outs for  4Kscore behavior.  Here's how it fared in recent Medicare Part B sal...

LabCorp Gets Bioreference: Two AI Viewpoints

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Below find a Chat GPT and a CLAUDE review of the Labcorp-Bioreference acqiusition.   Each had the same prompt (350-400, use internet). This ...

A Final Reg, A Proposed Bill: Information, Transparency, Coverage

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 CMS has released a final regulation on (mostly PRICE) transparency in coverage.  See Fed Reg , see Press Release , Fact Sheet .  Here, in t...

Program Integrity - Something New Every Month - Exclusion Authority Added to CMS, Formerly Only the OIG

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 Medicare's exclusion authorities - kicking you out of the program for 10 or 20 years - was previously handle by the legal eagles in the...

MEDPAC Updates its Basics of Payment series

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 MEDPAC has a dozen short articles, usually two-pagers, on the different payment systems (one of which is Clin Lab Fee Schedule.) It's s...

Oh Noooo... MACs Forbid Coverage of AI for MRI

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We saw this LCD topic as Final in February from CGS* and in Draft from Wellpoint Federal, here it comes from Palmetto GBA in draft in Octob...

When Digital Pathology is as much fun as Da Vinci - Sales will Follow

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 Could AI-drafted pathology reports become something physicians actively want to use —as some surgeons came to love da Vinci robotics?  Thi...
Wednesday, October 14, 2026

AGILENT-Proscia. ROCHE-PathAI. Deep Dives into Business Strategy and Impact

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  Roche acquires Path AI, Agilent acquires Proscia.  Tempus acquires PAIGE.   In a carefully guided Chat GPT 6 essay, we try to figure out w...

Digital Pathology Association Releases 3 Reimbursement Policy Documents

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 We're in the run-up to Visions 2026, the annual digital pathology  conference in San Diego this weekend.  Find it here . DPA has releas...

Handy Reference: AMA, ASCO, CAP Positions on the Awful 14-Day Rule

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The 14-day rule or Date of Service rule is generally unpopular with oncologists and cancer patients and societies.   Here are some recent (2...
Tuesday, October 13, 2026

Agilent to acquire Proscia; Business Strategies in Digital Pathology

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 In headline news today, Agilent (market cap $50B) will acquire Proscia in a deal for $240M in cash.   See news below. I've had a number...

The Strange World of PAMA Neuro Test Pricing

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Header.    For 24 neuro codes, most were PLA codes with no PAMA data.   For codes with PAMA data (e.g.  5,000 payments for generic ABeta 1-4...
Monday, October 12, 2026

Using Radiology Business "AI" Section to Understand Trends in 2025-2026

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 I pulled Radiology Business's own listing of 24 recent AI articles - what does it amount to?  Which way and why, are we running? ### Ye...

Rapid Changes Expected for Breast Cancer Therapies; ADCs and More

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 From Nature Med, Nat Rev Clin Oncol, and NEJM. ## These papers support a substantial opportunity for digital pathology manufacturers—but th...
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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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