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The U.S. Centers for Medicare & Medicaid Services has proposed a rule in relation to new reforms intended to stabilize individual and small group health insurance markets for 2018.

CMS Rule Set to Stabilize Small Health Insurance Markets

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Rule includes special enrollment period pre-enrollment verification, flexibility in level of cover
Higher levels of arsenic and mercury have been identified in individuals consuming gluten-free diets

Gluten-Free Diet Linked to Increased Levels of Toxic Metals

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Those on gluten-free diet had higher concentrations of urinary total arsenic, blood total mercury
Avoiding surgery and treating appendicitis with antibiotics alone may be a safe approach for many children

Antibiotics Could Be Alternative to Surgery for Appendicitis

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Findings from review of uncomplicated appendicitis cases
Five years after bariatric surgery

Bariatric Surgery Tied to T2DM Resolution in Obese Patients

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Surgery plus intensive medical therapy found more effective than intensive medical therapy alone
Health care spending is expected to grow at an average annual rate of 5.6 percent from 2016 to 2025

Health Care Spending Expected to Grow 5.6% Annually to 2025

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National health expenditures expected to represent 19.9 percent of gross domestic product by 2025
Among children with non-alcoholic fatty liver disease

Uric Acid Concentration, Fructose Intake Up NASH in Children

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Independent associations seen in cohort of obese children with non-alcoholic fatty liver disease
For patients undergoing combined esophagogastroduodenoscopy and colonoscopy with propofol sedation

Shorter Runway Time Linked to Better Colon Cleansing

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Shorter runway time doesn't increase residual gastric volume in patients undergoing EGD, colonoscopy
For patients with Barrett's esophagus

No Chemopreventive Effect Seen for H2RAs in Barrett’s Esophagus

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PPI use, but not H2 receptor antagonists, linked to reduced risk of progression in Barrett's esophagus
For patients with rheumatoid arthritis

Short-Course Tocilizumab May Up Hep B Reactivation in RA

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Three patients with chronic HBV infection had reactivation, but they were asymptomatic
Fluid-filled intragastric balloons used to treat obesity have been linked to two different types of adverse events

FDA Issues Safety Alert for Fluid-Filled Intragastric Balloons

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Some devices are over-inflating, and some have been linked to acute pancreatitis, agency says