Multimodal treatment better for Crohn's patients with perianal fistulas | Patients with advanced liver disease want better communication, study shows | CMS plans new value-based payment models
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September 24, 2018
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Clinical Updates
Multimodal treatment better for Crohn's patients with perianal fistulas
Patients with Crohn's disease and perianal fistulas who received multimodal treatments that included anti-TNFs, immunomodulators and antibiotics had improved outcomes, according to a study published in Alimentary Pharmacology & Therapeutics. "Only 32% of patients included in this study required repeat perianal fistula-related surgical intervention," researchers said.
Healio (free registration) (9/19) 
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Patients with advanced liver disease want better communication, study shows
An international systematic review found that general practitioners and hepatology experts often had difficulty discussing the seriousness of advanced liver disease with patients. Patients said they need better information about their conditions and that better coordination of care is needed to increase delivery of early palliative care, according to the study.
Healio (free registration) (9/20) 
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Legal & Regulatory
CMS plans new value-based payment models
CMS Administrator Seema Verma said the agency will be unveiling new payment models centered on high-cost areas such as cancer, chronic disease and end-stage renal disease care as part of ongoing efforts to advance value-based care, and HHS Secretary Alex Azar said some of the models could be mandatory. The agencies noted health care providers can expect reduced regulatory burdens and more effective quality measures, but they must be willing to increase their share of risk.
Healthcare Finance (9/20) 
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ACG note: ACG recently alerted membership on the possibility of required participation in certain APM models. Stay up-to-date with the latest public policy news with ACG's weekly policy alert, "This Week in Washington, D.C."
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Practice News
Report: NPs can help US meet primary care needs
Nurse practitioners are well-positioned to fill needs for primary care in the US, where 13% of residents live in counties with care shortages, according to a report from UnitedHealth Group. NPs have extensive training and often focus on disease prevention and health management, which are key components of primary care.
Patient Engagement HIT (9/17) 
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Survey: 78% of physicians have experienced burnout
Survey responses from 8,774 US physicians showed 47% of their compensation was tied to quality or value, even though only 18% felt the payments would improve care or reduce costs. The survey, conducted by Merritt Hawkins, found 78% of physicians had experienced burnout and 79% said patient relationships were the biggest source of job satisfaction.
Becker's Hospital Review (9/18),  Patient Engagement HIT (9/18) 
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ACG note: In the latest issue of ACG Magazine, Dr. Christina Surawicz, Dr. Carol Burke and the ACG Professionalism Committee take on physician burnout and offer prevention strategies in the cover story, "Banishing Burnout & Building Resilience." Read this issue.
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Business & Market Trends
Physicians honored for their work in Crohn's, ulcerative colitis
David Binion, M.D., co-director of the Inflammatory Bowel Disease Center, translational IBD research, at the University of Pittsburgh School of Medicine; Jean-Frederic Colombel, M.D., director of the Susan and Leonard Feinstein Inflammatory Bowel Disease Clinical Center at Mount Sinai; and Amy Lightner, M.D., medical director of the Translation Into Practice Platforms at Mayo Clinic's Center for Regenerative Medicine in Rochester, Minn., were recently awarded the Sherman Prize for their research in Crohn's disease and ulcerative colitis. The recipients will be honored at the Advances in IBD 2018 in Orlando, Fla.
Healio (free registration)/Gastroenterology (9/22) 
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Exec: Health care lagging in consumer-focused technologies
Health care has remained at the forefront of technological advancements, but it lags on consumer-focused technologies because the industry has primarily been patient-focused, said Northwell Health CEO Michael Dowling. Increasing consumer influence in health care will prompt the growth of patient-facing home care products and changes in care delivery amid increased virtual outlet engagements, Dowling said.
MobiHealthNews (9/18) 
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Patient's Perspective
8-year-old raises money for IBD research with lemonade stand
Liam Doherty opened a lemonade stand in his hometown of Canton, Mass., to raise money for Inflammatory Bowel Disease Center at MassGeneral Hospital for Children. The 8-year-old, who has had the disease for two years, raised more than $3,000 from the stand and more than $12,000 total, including online efforts and a bake sale.
Wicked Local/Danvers, Mass. (9/20) 
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ACG News
ACG 2018: Attend the Three-Day Clinical Review to maximize your learning & save
Register now to attend the Three-Day Clinical Review, Oct. 5-7 at ACG 2018 in Philadelphia, before the preregistration deadline this Friday, September 28. Internationally known faculty and rising stars in the fields of gastroenterology and hepatology will deliver the latest clinical updates on common and not-so-common GI disorders. Special registration packages are offered, and you can save when you register! Choose from four optional Friday Courses, the Postgraduate Course, and the ACG 2018 Annual Scientific Meeting. The Annual Scientific Meeting is still FREE for ACG members. Register. Reserve your hotel room. Review the ACG 2018 program.
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