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Nov. 30, 2017
              FHIweekly               
Volume VIII |  Issue 48       
Docs warming to value-based care model
Leslie Small
Fierce Healthcare

Though significant barriers still stand in the way of the transition to value-based reimbursement, a new study offers encouraging signs that physicians are getting more comfortable with new payment models. The study, a joint effort between the American Academy of Family Physicians and Humana, follows up on a similar study they conducted in 2015. Representatives from both organizations-plus Health Care Transformation Task Force Executive Director Jeff Micklos-participated in a briefing Wednesday on to discuss the findings.
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More than half of US children may be headed for obesity as adults
A computer analysis predicted that more than 57% of children in the U.S. will be obese by the time they turn 35, according to a study in The New England Journal of Medicine.

Researchers analyzed data from five studies involving nearly 41,500 children and adults and found that severity of obesity in childhood was tied to an even greater risk of being obese by the age of 35.
FHIcommunications
Sometimes not doing surgery makes you a better surgeon 
 
Nina Sha p iro, MD  
KevinMD 
 
Having been surgically trained and surgically-minded, I've had expression ingrained in my psyche such as "a chance to cut is a chance to cure," "when in doubt, cut it out" and "nothing can heal like cold, hard steel." Indeed, as a surgeon, I see patients in my office and in the hospital with the specific question of whether or not surgery is indicated, what type of surgery and how urgently it needs to be performed.
 
But coming up to my 20-year anniversary as a full-time faculty member at an academic medical center, I've noticed my own sea change in recommendations. Yes, I have seen the beneficial outcomes of even the most minor of surgeries, as well as the literal life saving from major ones. I've also seen the disastrous consequences of delaying surgery or from holding off on surgery altogether. But I have also seen surgical disasters. Because as most surgeons know, there is more to surgery than simply "cutting it out."
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Dr. Jonathan Fialkow
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Next U.S. Restructuring Epidemic: Sick Health-Care Companies
Tiffany Kary
Bloomberg

A wave of hospitals and other medical companies are likely to restructure their debt or file for bankruptcy in the coming year, following the recent spate of failing retailers and energy drillers, according to restructuring professionals. Regulatory changes, technological advances and the rise of urgent-care centers have created a "perfect storm" for health-care companies, said David Neier, a partner in the New York office of law firm Winston & Strawn LLC.

Some signs are already there: Health-care bankruptcy filings have more than tripled this year according to data compiled by Bloomberg, and an index of Chapter 11 filings by companies with more than $1 million of assets has reached record highs in four of the last six quarters, according to law firm Polsinelli PC

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