Tuesday, April 21, 2026

United Health Group, $3 Billion Bet on AI (see Stat Plus)

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 On April 6, Casey Ross of STAT PLUS published a deep-dive aritcle on United Healthcare's massive investments in AI. See the subscriptio...

Roche/FMI to Acquire SAGA: See the Chat GPT Research Memo [AMAZING]

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In April 2026, Roche announced that, via FMI, it would aquire SAGA Diagnostics, a Swedish MRD company that got MolDx coverage in 2025. I put...
Monday, April 20, 2026

Humor: How Hospitals Handle CMS 14 Day Rule

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The CMS 14-day rule for "date of service" has different versions for inpatients and outpatients, and for human molecular tests ver...
Sunday, April 19, 2026

The Future Decade in Sequencing: Learning from Past Decades?

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I was given a questionairre on the future of clinical sequencing in the next decade - whether FFPE, or MRD LBx, and so on.   Of course, any ...
Thursday, April 16, 2026

Get Them Here: Detailed Notes on the April 16 CMS Webinar on PAMA Reporting

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 On April 16, 2026, CMS provided a one hour webinar on PAMA lab price data reporting, which runs May June July, 2026. CMS PAMA Page CMS stat...

Some Thoughts on the Revisions to AMA Appendix S for Software-Intensive Services

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  Header - For a year, AMA has circulated larger and larger revisions of Appendix S, its position on software-intensive services.    Here, I...
Wednesday, April 15, 2026

CMS Inpatient Proposed Rule: Canning the Fast Track to NTAP (!)

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In 2020, the first Trump adminstrationi proposed fast track routes to Inpatient NTAP (new technology add on payment) and fast track to cover...
Tuesday, April 14, 2026

CMS Releases Inpatient Proposed Rule

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 CMS has released the Inpatient Proposed Rule.   Find it here: https://www.federalregister.gov/documents/2026/04/14/2026-07203/medicare-prog...

AMA Releases the Biggest Batch of PLA Applicants Ever

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Just two weeks ago, AMA released 29 new and finalized PLA codes, April 1 ( here ). Here's the PLA home page: https://www.ama-assn.org/pr...
Monday, April 13, 2026

Friends of Cancer Research: 3-Hr Webinar on "External Control Arms"

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 When you have a one-arm trial, you need a comparison group - the general problem presented by "External Control Arms." Catch up w...
Sunday, April 12, 2026

House Hearing on Medicare Fraud: Comparison to CMS CRUSH Proposal

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CMS released its CRUSH anti-fraud proposals around February 26.   At the beginning of the month, February 3, the House Energy & Commerce...

College of American Pathologists, CRUSH & Genomics Fraud; Doesn't Like National MolDx

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Since comments closed on March 31, I've highlighted several groups that commented, such as ACLA and the BCBS Association.  Both supporte...
Thursday, April 9, 2026

Tamara Syrek Jensen - The Medtech Strategist Interview

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Medtech Strategist has released an interesting podcast interview.   Learn about Tamara Syrek Jensen's career at CMS, much of it in the C...

CMS Webinar on PAMA Lab Data Submissions: Video April 16,

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Here's new from CMS about PAMA sales price reporting, due at CMS in May-June-July 2026. The live webinar is sold out, but hopefully they...

Phillips et al in SCIENCE: Diagnostics and Policies for Value

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In the April 9, 2026, issue of SCIENCE, see an article by Phillips, Horn, & Califf on the value of diagnostics and good diagnostics poli...