Discoveries in Health Policy

Ideas for or from an evolving healthcare system

Saturday, August 4, 2018

CMS Releases SEP-1 Data - A Sepsis Management Performance Measure for Hospitals

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Summary Sepsis is a major public health issue, and international guidelines urge rapid interventions.   After several years, CMS has just...
Friday, August 3, 2018

Very Brief Blog: Caris' Website Comparison of Caris and FMI

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A month ago, I was struck by a back cover advertisement by Caris on the ASCO POST trade journal, Caris positioning as "The Independen...

Very Brief Blog; McKinsey Publishes Trifecta of Life Sciences Strategy Articles

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McKinsey & Co. is a leading global strategy consultancy.  Their Pharma & Life Sciences strategy group regularly publishes detailed ...
Thursday, August 2, 2018

Very Brief Blog: CMS Releases Final Inpatient Rule for FY2019

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On August 2, 2018, CMS released the final hospital inpatient rulemaking for FY2019, effective 10/1/2018. The home page for the final rule ...

Comment on (Non Lab) CPT Codes Proposed for September AMA CPT Meeting

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AMA CPT provides a brief listing of new code applications and accepts public comment a motnh or two before each CPT Editorial Panel meeting....

Very Brief Blog: Concert Genetics' Free Website Search of Labs and Charges

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This month, I was working on a project to help stakeholders comment on the bizarrely low CMS gapfill price for clinical whole genome sequen...

Brief Blog: Imminent Lab Comment Deadlines for CMS Gapfill and for AMA CPT September Mtg

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Comment Deadlines: COMMENT ON CMS GAPFILL BY AUGUST 7, 2018 CMS has 18 lab codes under the gapfill pricing method and under public comm...
Wednesday, August 1, 2018

Brief Blog: California Legislature Approves $2M for Whole Genome Sequencing in Rare Diseases

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Not "new news" but here's a link to a June 22, 2018, article that the California legislature had approved a $2M pilot program...

Brief Blog: McDermott Produces Detailed Guide to Medicare Digital Health Progress

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McDermott Will & Emery has produced a detailed guide to recent updates, changes, and proposals with regard to how Medicare will pay for,...
Thursday, July 26, 2018

July 25, 2018: CMS Releases Annual Outpatient Rule Proposals

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On July 25 - almost a month later than normal - CMS released outpatient rulemaking for CY2019.    Public comment is open for 60 days (Septem...
Wednesday, July 18, 2018

OIG Posts Report on How CMS Collected PAMA Data

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OIG has posted a public report on how CMS collected national PAMA data for laboratory rate-setting, and how the process could be improved.  ...
Tuesday, July 17, 2018

July 16-17, 2018: CMS Panel Debates New Test Pricing; Value of R&D?; Transcripts

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CMS is pricing almost 100 new CPT codes (including PLA codes) for CY2019.  After a public comment meeting on June 25, 2018, on July 16-17, ...
Friday, July 13, 2018

Statement of Work for Michael Cohen's $1.2M Consulting Contract with Novartis

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In articles on July 13, 2018, Boston STAT discussed Michael Cohen's work as a consultant for Novartis, including the release of 249pp o...
Thursday, July 12, 2018

Brief Blog: CMS Releases Physician Proposed Rules for CY2019

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On July 12, 2018, CMS released the "inspection copy" or typescript of the CY2019 physician fee schedule proposed rules.  Comments ...

MolDX Posts Final LCD For Guardant G360 Gene Panel Liquid Biopsy Test

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MolDx has posted the final version of a positive coverage LCD for the Guardant G360 gene panel liquid biopsy test, with coverage for advance...
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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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