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Smoking is not an inexpensive hobby. Smokers not only spend money on cigarettes and tobacco, but also on healthcare to manage smoking-related illnesses. Approximately 36.5 million Americans are avid tobacco users who spend large sums of money on their addiction and the consequences that come with it.

A government shutdown would have far-reaching implications for public health, with health services halted and almost half of HHS staff furloughed. In an updated contingency plan, HHS outlined which activities would continue during a shutdown and which would not.

A study released Monday found the Affordable Care Act (ACA) helped lower average out-of-pocket spending (OOP) overall, mainly because of reductions in spending among people eligible for the Medicaid expansion and cost-sharing and premium subsidies on the insurance exchanges. However, premium spending rose, mostly, because of large increases for those with higher incomes, said Anna Goldman, MD, MPA, one of the authors of the JAMA Internal Medicine study.

Estimating episodic target prices for each patient in the Oncology Care Model (OCM) can be challenging and time consuming. Applying that time to quality-focused care management tactics, based on observed utilization and patient outcomes, may wind up being more valuable, and help to reduce unnecessary spending.

Patients dually enrolled in Medicare and Medicaid have higher levels of Medicare spending compared to other beneficiaries, and it can impact hospitals' performance on a Medicare cost measure, according to a study published in Health Affairs.

This week in managed care, the top stories included the announcement that Kentucky is the first state approved to require patients work to receive Medicaid benefits; FDA Commissioner Scott Gottlieb, MD, reveals a new program to improve clinical trial transparency; research finds the worst cases of attention-deficit/hyperactivity disorder could lower life expectancy.

Although risk targeting may improve screening efficiency in terms of early lung cancer mortality per person screened, the gains in efficiency are modest in terms of life-years, quality-adjusted life-years, and cost-effectiveness, according to a study recently published in Annals of Internal Medicine.

President Donald Trump may have inched the government closer to a federal shutdown when he tweeted Thursday morning that the Children’s Health Insurance Program (CHIP)—the program that funds healthcare for millions of low-income children—should be part of a long-term solution and not part of a short-term spending bill.

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