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‘That’s a Lot of Money’: What We Heard This Week

“That’s a lot of money … If that’s the case, this is absolutely going to take off like a wildfire.” — Kavita Patel, MD, of the Physician-focused Payment Model Technical Advisory Committee, on a hypothetical example of an outcome-based payment model for primary care physicians.

“The best laid plans of mice and men may have gone by the wayside.” — Charles Argoff, MD, American Academy of Pain Medicine Foundation president, on the CDC clarifying how to implement its 2016 opioid guidelines.

“I talk to the person on the other end of the phone and they can’t even correctly pronounce the name of the surgical procedure that they’re attempting to authorize.” — Otolaryngologist Bruce Scott, MD, expressing frustration with prior authorization processes.

“Criminalization of public health needs [is] never a good idea.” — HHS assistant secretary Adm. Brett Giroir, MD, during a discussion of the Trump administration’s proposal to end HIV/AIDS by 2030.

“People don’t want to live in a place that has an implicit loss of dignity.” — John Rowe, MD, of Columbia University in New York City, on the lack of housing options for middle-income seniors with health issues.

“I don’t see evidence of it being widely used or as the most likely direction forward.” — Gini Fleming, MD, of the University of Chicago, commenting on a negative study of intraperitoneal chemotherapy for advanced ovarian cancer.

“The bottom line is that this therapy is still experimental, and physicians and patients need to understand that.” — Derek K. Chu, MD, PhD, of McMaster University in Hamilton, Ontario, commenting on a study showing an increased risk of anaphylaxis with peanut oral immunotherapy versus avoidance or placebo.

“This study provides a proof of principle that this is possible.” — Edward Chang, MD, of University of California San Francisco, discussing a novel brain-computer interface that translated neural signals into speech sounds.


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