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HCR ManorCare, the second-largest nursing-home chain, exposed its roughly 25,000 patients to increasing health risks in the 5 years preceding its bankruptcy; Clostridium difficile, or C. diff, is spreading outside of healthcare settings like hospitals and nursing homes and scientists are not exactly sure why; the US government released new autism numbers.

This week, the top managed care news included HHS Secretary Alex Azar hinting that the government may get more involved in addressing social needs impacting health; work rules in Arkansas cost thousands their Medicaid coverage; research finds a shorter course of hepatitis C treatment may be just as effective as the full course of treatment.

The National Institutes of Health (NIH) said this week that care for chronic obstructive pulmonary disease (COPD) is expected to cost the United States $49 billion by 2020, as it recapped its research portfolio to mark World COPD Day 2018.