Discoveries in Health Policy
Ideas for or from an evolving healthcare system
Friday, August 31, 2018
House Messages CMS: Asks CMS to Address Panel Unbundling
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Each year, annual budgets prepared at House and Senate come with something called "report language" which describes something of t...
MolDx Releases Set of New LCDs
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A Genomeweb article on August 30, 2018, notes that MolDx has released a draft LCD favorable to the Veracyte test Envisia, for pulmonary fibr...
Thursday, August 30, 2018
Very Brief Blog: The Swing to FDA Approval: FMI Discontinues F1 Test for CDx Test
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I may not be the first one to hear it but I heard today: Foundation Medicine is officially turning off the production line on its F1 test. ...
Wednesday, August 29, 2018
Very Brief Blog: MolDx Analysis of Evidence "Quality, Strength, and Weight"
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The 21st Century Cures Act requires LCDs to provide rationales for their decisions and a summary of evidence considered . For an overview...
Very Brief Blog: New Medical Director at CMS MolDx Program - Dr Paul Gerrard
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The Medicare special contractor program for genomic tests, MolDx , has a new interim medical director, Dr. Paul Gerrard. Labs who work wit...
Wednesday, August 22, 2018
My Short Deck on LCD/NCD and Combination Diagnostics: For NextGenDx Conference in DC
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This week is the 1000-person NextGenerationDx conference in Washington, here . This afternoon I have the chance to present a concise 15-mi...
Monday, August 20, 2018
Two New Research Studies Propose Updated Approaches to Medicare Dx LCDs
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Classically, a new diagnostic test is created and its developer produces a series of studies showing it is clinically valid and has strong c...
Saturday, August 18, 2018
Two Precision Medicine-Related Conferences in Nashvillle, September/October 2018
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Two precision medicine related conferences in Nashville in September and October 2018. The first is sponsored by the "Precision Medic...
Foundation Medicine's Final SEC Report: Medicare Policy as a Chutes and Ladders Game
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On August 9, 2018, Foundation Medicine (FMI) filed its SEC 10-Q [MAY NOT WORK; SEE CLOUD COPY INFRA] for the quarter ending June 30. And on...
Friday, August 17, 2018
Brief Blog: CAP Keeps Legislative LCD Reform Alive
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In its July 31, 2018, open access government affairs bulletin STATLINE, College of American Pathologists notes that its legislation to impro...
Thursday, August 16, 2018
FDALawBlog posts FDA's 59-page Diagnostics Legislation for Reform of Itself
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Update 2019/07. This blog leads to the 59 page FDA comments on DAIA in 8/2018. See a July 2019 blog that leads to 18 page HHS comments o...
Wednesday, August 15, 2018
Very Brief Blog: Legislation Would Cover Know-Error DNA Biopsy Provenance Test; Not Covered by MACs
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In a brief tidbit, the MolDx program does not cover the Know Error Test, a DNA test that confirms the provenance (origin) of biopsy specimen...
President's 2019 Budget Proposes Cutting USPSTF Budget
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I ran across the President's 2019 Proposed Budget for AHRQ, which includes a discussion of the sub-budget for U.S. Preventive Services T...
MolDx Program Drops "Coverage with Data Development" From Its Handbook
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National CED Coverage with Evidence Development (CED) is a form of gated entry for new technologies into the healthcare payment system.* ...
Thursday, August 9, 2018
California MD-PhD Becomes Head of Diagnostics at FDA: Tim Stenzel
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Amidst a significant reorganization of the Center for Devices and Radiologic Health (CDRH), Tim Stenzel MD PhD becomes head of the Office of...
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