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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