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July 5, 2018
  Volume IX |  Issue 27    
Will Atul Gawande succeed as a health care CEO? 
Robert Pearl, MD | KevinMD

When news broke that Dr. Atul Gawande had been named CEO of the Amazon-Berkshire-JPMorgan Chase health care partnership, industry insiders were quick to raise doubts about his credentials. Some pointed to his limited administrative experience, questioning how someone who has never managed a hospital or health system could oversee the care of some 1 million patient-employees. They also noted that the surgeon and bestselling author doesn't know much about running an insurance company or contracting with providers or wading through the murky waters of benefit reimbursements, either. How, then, will he navigate the industry's complex regulations and requirements?

Ohio health system
says it cut opioid prescriptions for acute pain by 62%
Tina Reed | Fierce Healthcare

An electronic medical record system is being credited with helping a public health system in Ohio reduce its opioid prescriptions for acute pain by more than 60% in the last 18 months. Officials from Cleveland-based MetroHealth System said they also cut opioid prescriptions by 25% for chronic pain. In all, they estimate they cut opioid prescriptions by 3 million pills. How'd they do it? Officials pointed to the alerts they set up in the EMR system. In particular, those alerts for prescribers were set up to flag patients who may be at risk for addiction to guide them toward alternative drugs and lower doses.
 Thailand Cave 
Rescuers in race against weather as rains close in
05 July 2018 | BBC
     Rescuers are racing against the rains to free 12 boys and their football coach, who are trapped in a flooded cave in northern Thailand. A deluge is expected to hit in a matter of days that could force the water level up,
Rescuers Continue Weighing Safest Options
Rescuers Continue Weighing Safest Options
threatening to flood the pocket where the group took refuge. The teenage boys and their 25-year-old coach have been trapped for 12 days. They were found on Monday night by rescue divers, on a rock shelf about 4km (2.5 miles) from the cave mouth. The boys have now received food, foil blankets, and medical attention, and rescuers are trying to run cables through the cave tunnel so they can speak to their families.
How Long Can Humans Survive in a Cave?
     12 youth soccer players and their coach, who were missing for nine days, were found on Monday < 7.2.18>. Now, all the rescuers need to do is get everyone out - a process that could take months because of the flooded conditions. Yasemin Saplakoglu, in a 7.3.18 Live Science post, addresses an issue we've all been pondering.
Judge's Ruling Slows Plans for Medicaid Work Requirement
Tracy Gavel | AP via Health News Florida
The Trump administration's drive to wean poor people from government benefits by making them work has been slowed by a federal judge framing a fundamental question: Are poverty programs meant to show tough love or to help the needy? U.S. District Judge James E. Boasberg in Washington last week halted Kentucky's first-in-the-nation experiment with Medicaid work requirements, ruling that the Trump administration glossed over potential coverage losses. He sent the state's plan back to federal authorities for a harder look. The debate goes well beyond Medicaid, the federal-state health program for low-income and disabled people. This spring, President Donald Trump signed an executive order directing cabinet agencies to add or strengthen work requirements for programs including subsidized housing, food stamps and cash welfare.