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The FHA Knowledge Hub
Curated perspectives from FHA consultants on regulatory policy, clinical evidence, and commercialization strategies for medical devices and digital health.


TEMPO: A New Regulatory Springboard for Digital Health Innovation in Chronic Disease
The FHA Knowledge Hub By Shannon Campbell, PhD, Principal Consultant, Frank Healthcare Advisors On December 5, 2025 , the U.S. Food and Drug Administration (FDA) unveiled a groundbreaking initiative, the Technology-Enabled Meaningful Patient Outcomes (TEMPO) for Digital Health Devices Pilot, aimed at expanding patient access to digital health technologies that can transform chronic disease management. This first-of-its-kind pilot, developed by the FDA’s Center for Devices an
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Jan 254 min read


Alicia Toledano’s article is in INSIGHT IMAGING’s Top 100 most cited articles on artificial intelligence in breast radiology!
https://pmc.ncbi.nlm.nih.gov/articles/PMC11638451/ By Alicia Toledano, ScD, President, Biostatistics Consulting A paper by Conant, Toledano, Periaswamy, et al., “ Improving Accuracy and Efficiency with Concurrent Use of Artificial Intelligence for Digital Breast Tomosynthesis ,” in Radiology: Artificial Intelligence, reports results of a reader study with 24 radiologists reading 260 Digital Breast Tomosynthesis (DBT) examinations (including 65 cancer cases). The paper was re
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Dec 16, 20252 min read
Ultra-Portable X-Ray Trends Shaping the Future of Care Delivery
By Luca Bogoni, PhD, Founder & Principal, HealthTech Strategies At RSNA 2025, a quiet but powerful shift in diagnostic imaging took shape: ultra-portable X-ray systems are advancing beyond traditional mobile carts to lightweight, point-of-care platforms capable of expanding access to radiography across community clinics, home care, and remote settings. From handheld carbon-nanotube emitters to compact kits and foldable cart systems, this emerging ecosystem is redefining where
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Dec 16, 20251 min read


Key Milestones for AI-Enabled SaMDs
By Shannon Campbell, PhD, Principal Consultant, Frank Healthcare Advisors November 28, 2025 Artificial intelligence (AI) is transforming diagnostics, imaging analysis, and clinical decision-making across the healthcare ecosystem. However, translating promising algorithms into regulated, clinically adopted Software as a Medical Device (SaMD) is a complex, multidisciplinary challenge. Success requires far more than algorithmic performance: it demands systematic alignment of reg
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Nov 27, 20254 min read


How to Determine Sample Size for IVD Studies
By Alicia Toledano, ScD, President, Biostatistics Consulting November 28, 2025 What sample size do I need? Sample size impacts budget, feasibility, and success of regulatory applications for in vitro diagnostic tests (IVDs). At least as important is having an unbiased study – at minimum, the study sample should represent the intended use population and the “ground truth” against which performance of the IVD will be measured must be trustworthy. Once those are set up, sample
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Nov 27, 20252 min read


CPT Appendix S: The Missing Link Between AI Innovation & Reimbursement
By Richard Frank, MD, PhD, Founder and Principal Consultant, Frank Healthcare Advisors November 28th 2025 AI-enabled medical devices, once seen as futuristic, are now routinely cleared by FDA to detect retinal disease, analyze cardiovascular physiology, classify imaging features, and autonomously interpret clinical signals. Yet despite rapid technological progress, commercial adoption for many AI solutions remains difficult. Innovators often underestimate one of the biggest b
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Nov 27, 20254 min read


New FDA Draft Guidance for AI-Enabled Medical Devices
By Luca Bogoni, PhD, Founder & Principal, HealthTech Strategies November 28, 2025 In early 2025 the FDA released a new draft guidance designed to help developers build safer, more transparent, and more reliable AI-enabled medical devices FDA Draft Guidance for Developers of Artificial Intelligence-Enabled Medical Devices . As AI continues to transform imaging, diagnostics, monitoring, and clinical decision support, the agency is aiming to ensure that innovation is supported
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Nov 23, 20251 min read
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