Discoveries in Health Policy

Ideas for or from an evolving healthcare system

Tuesday, July 14, 2026

WaPo Jumps on CMS RFI Against AMA CPT, RUC

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Header: WaPo Slams AMA Hard, Lands Punches Early On Tuesday, July 14, the Washington Post had a headline article ready to run, featuring a l...

CMS Releases Physician Fee Schedule Rule - Proposals for 2027

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On July 14, 2026, CMS released the Physician Fee Schedule (aka Part B rule) as proposals for 2027.   Find the early release version here (a...

Things AI Can Do: Analyzing Trends in Today's CMS Lab Experts Meeting

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Today, July 14, CMS held its annual experts advisory committee for the 100-odd codes it is pricing for CY2027. In a previous blog , I showed...

Things AI Can Do - Structured Merged Transcript of Today's CMS Lab Pricing Meeting - in Minutes

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Header: AI Makes Super-Notes from a Federal Meeting. ## Today, CMS held its professional advisory panel for pricing of new lab tests for 202...

Flurry of News for Alzheimer Diagnostics

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 A flurry of news for Alzheimer diagnostics, and we're closing in on the international Alzheimer conference in Toronto, AAIC-26 .    Two...
Monday, July 13, 2026

AI Guest Author; CMS TAVR Proposed Revisions & TAVR History at CMS

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In July 2026, CMS released a proposed revision of its coverage policy for TAVR - Trans-vascular aortic valve replacement. The proposal and...

AI Guest Author: History of CMS Coverage of Amyloid PET Scans

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News today of Anthem covering blood-based Alzheimer tests ( here , here , policy here ) reminded me of the tortured history of CMS and amylo...
Thursday, July 9, 2026

MolDx Finalizes LCD: Liver Disease Risk Stratification

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MolDx MACs finalize an LCD, proposed last summer, on "Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Ste...
Tuesday, July 7, 2026

AI Reports as Part of Thinking? The Falling Friction of Knowledge Work

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Header:  AI is making analytical reports cheap enough that they become tools for thinking, not just finished products. (Note - this essay ge...

CHAT GPT Tries to Understand All 600 PLA Codes

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Here's another exercise where we give Chat GPT the ~600 current PLA codes and we ask it to find rhyme or reason in their multitudes.  Th...

CMS Publishes Federal Register Rules for Software as a Medical Service (Incl Lab Tests)

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 A few days ago, this blog flagged that CMS was proposed to take software-intensive lab tests OFF the clinical lab fee schedule (at least in...
Monday, July 6, 2026

Example of AI Company Research; What's up with Mdxhealth?

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 I saw a headline that Mdxhealth received a NASDAQ minimum price warning.  July 2.   https://mdxhealth.com/press_release/mdxhealth-announces...

AMA Posts PLA Applications for July-August Cycle

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 AMA has posted applications (for public comment) for the July-August application cycle.   Find them here: https://www.ama-assn.org/system/f...

Palmetto MolDx Shows Up in National News (DCIS)

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Palmetto MolDx and its pending decision on DCIS test coverage has made national news on NBC.  The news includes a detailed article as well a...
Thursday, July 2, 2026

Payors, Pathology, and MBA Economics: A New 20p AI White Paper

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Entry point: The June 2026 issue of CAP TODAY features an article on pathology business economics by Dr Thomas Mezzetti.   He cites a 2025 ...
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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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