Discoveries in Health Policy

Ideas for or from an evolving healthcare system

Thursday, December 7, 2023

Reagan-Udall Foundation Report on Real World Evidence Generation, PostMarket, FDA

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Last week was the 17th annual meeting of the Personalized Medicine Coalition (PMC), which has also posted talks on its public YouTube channe...

Several Physicians, CFO, Tagged with Nearly $1M in DOJ Lab Penalties

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We regularly read of large penalties assessed against corporations or against laboratory owners for lab inducement or fraud. I mention the p...

Adaptive Biotechnologies Features 30 Abstracts on MDR

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 While news reports highlight a slowdown in tech funding relative to 2020-2021 ( NYT here  today), many sciences of vibrant progress in fiel...
Wednesday, December 6, 2023

CAP Today November 2023: Bonanza of Interesting Articles

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 Given that headline, I should probably add that all the articles in CAP TODAY are likely interesting to somebody , somewhere.  But this is...
Tuesday, December 5, 2023

AMA Genomic Workgroups Continue (A: Dec 6, Jan 8; B: Dec 18, Jan 23)

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The AMA is in its third year of running publicly available workgroups that plan consensus code revisions for genomic tests , such as heredit...
Monday, December 4, 2023

ACLA Comment to FDA…it Includes MolDx!

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ACLA announced that it has submitted a detailed, 107-page comment letter to the FDA, in response to the FDA's proposal to regulate lab d...

MolDx Covers MRD Test for Head and Neck - Based on Circulating HPV DNA

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MolDx has granted coverage under its "Minimal Residual Disease" LCD, for monitoring head and neck cancer. There's a twist.  Mo...

ACLA Issues 107-Page Comment Against FDA Regulation of LDTs

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The ACLA issued a 107-page comment letter that urges the FDA to drop its present proposal to rapidly regulate lab developed tests usings it...
Sunday, December 3, 2023

FDA, Multi-Cancer Screening, and Mortality? Consider Three Additional Points

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 As we move towards an era of blood-based multi-cancer screening, there have been arguments that adoption must follow overall mortality bene...
Friday, December 1, 2023

Five Interesting Law Firm Essays about FDA LDT Proposals

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In the last couple weeks, I ran across a number of interesting articles from law firms about the FDA proposal to regulate lab developed test...
Wednesday, November 29, 2023

NEJM Op Ed Tackles CMS Efforts to Modernize Coverage Policy

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  A policy opinion piece in the November 30, 2023 NEJM, by Kadakia et al., provides a fairly detailed overview of coverage problems at CMS, ...
Tuesday, November 28, 2023

New Alzheimer Codes Dominate Lab Agenda for AMA CPT Feb 2024

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Registration is open for the February 1-3, 2024, AMA CPT Editorial Meeting in San Diego.  Registration may be both in person or virtual.  He...

FDA Posts Agenda and Questions for MCED Panel November 29, 2023

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On November 29, 2023, FDA is holding     ^held   an all-day panel on how the FDA should plan for trials and evaluations of MCED, multi cance...
Monday, November 27, 2023

NEJM AI: With Complex Cases, GPT-4 Usually Beats Humans (Eriksen et al.)

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Last April, NEJM announced it would launch ai.NEJM, a new AI-focused journal (see coverage at MedPageToday ).  At the time, it publishes Lee...
Sunday, November 26, 2023

MolDxOlogy - Payments for 2022 Category 1 Genomic Codes, by MAC

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Header:  Of Category I genomic CPT codes, about 65% MolDx payments, 20% NGS MAC, 15% Novitas.  But, most NGS MAC payments represented Cologu...
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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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