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Aug. 16, 2018
  Volume IX  |  Issue 33  
CMS pushes ACOs to take on more risk with Medicare Shared Savings Program overhaul
Evan Sweeney reports for Fierce Healthcare on Aug 9, 2018:

A long-awaited proposal from the Trump administration will ask accountable care organizations (ACOs) to take on more risk going forward. The proposed rule issued by the Center for Medicare & Medicaid Services (CMS) on Thursday < 8.9.18>, shrinks the amount of time ACOs can be in an upside only model to two years. Additionally, those in a Track 1 upside only model would only be able eligible to take in 25% of any savings.

The evolving definition of doctor 
Joe Bocka, MD | KevinMD
Doctor: (from Latin docere "teach" Greek phusikḗ epistḗmē "knowledge of nature") a specially trained and skilled person who holds an advanced medical degree and is licensed to practice the healing arts. My definition of doctor keeps evolving. As a child, I was cared for by FPs who helped set bones, suture skin and fight infections like measles, chicken pox, and strep. Though I didn't like going, I usually experienced healing on leaving their antiseptic-smelling office. In sixth grade, a teacher took me to visit her neonatologist spouse. I was awestruck by the life-saving team's battles to save the second set of quintuplets born in the U.S. This lit a spark to know more about our bodies as doctors do.
Recent Progress in the Value Journey: Growth of ACOs and Value-Based Payment Models in 2018
David Muhlestein, Robert Saunders, Robert Richards & Mark McClellan
Health Affairs Blog
The past year saw multiple developments that could affect payment reform-a new administration was getting up to speed, the Affordable Care Act (ACA) was debated and its implementation modified through legislative and regulatory changes, and questions were raised about the future of alternative payment models. Despite this, implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) and its associated programs continued, private payers continued to highlight their commitment to value-based care, and many states took steps on payment reform in their Medicaid programs.
To gauge where the field is currently, we present the most recent figures on ACO and value-based payment (VBP) adoption, and assess the implications of these trends for the upcoming year. 
Financial Ties that Bind: Studies Often Fall Short on Conflict-Of-Interest Disclosures
Rachel Bluth | KHN
Papers in medical journals go through rigorous peer review and meticulous data analysis. Yet many of these articles are missing a key piece of information: the financial ties of the authors. Nearly two-thirds of the 100 physicians who rake in the most money from 10 device manufacturers failed to disclose a conflict of interest in their academic writing in 2016, according to a study published Wednesday < 8.14.18> in JAMA Surgery.
Physicians top list of the highest-paying jobs in America with $195K+ salary 
Glass Door, a jobs and recruiting site, recently published their list of the 25 highest paying jobs in America. Doctors topped the list with Tampa listed among five U.S. cities as a hot spot for hiring. Other health professionals did well also. Pharmacy managers and pharmacists nailed the second and third positions while physician's assistants came in seventh and nurse practitioners were ninth.