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As new therapies transform HIV management from acute to chronic, primary care physicians have a greater role in supporting the interventions of specialists.

Too many physicians lack the skills to discuss end-of-life wishes with patients. It is awkward for the doctors to even bring up the topic in certain circumstances. Doctors are trained to save peoples’ lives, not to give up on them. But physicians need to change their mindset.

Let me state this from the start: I believe CMS Acting Administrator Andy Slavitt when he says that the rules of his agency’s Medicare reimbursement reform don’t slight small practices and are designed to make it easier to report quality data.

With physician pay on the rise by some measures, now is a good time for doctors to take stock of how to keep more of those dollars in their pocket.