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CMS Proposal Could Redefine Medicare Payment for Software-Based Lab Testing

Proposed Medicare policy could reshape reimbursement for AI-enabled laboratory diagnostics

CEO SUMMARY: The proposed 2027 OPPS rule would move certain algorithm-driven analyses off the Clinical Laboratory Fee Schedule, potentially creating a new reimbursement framework for AI-enabled diagnostics. For clinical laboratories, it could shift how reimbursement weaves into software-driven insight of diagnostic tests. Clinical laboratory leaders who are looking now for clues about future diagnostic test […]

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