Last month marked the end of India’s Kumbh Mela, a Hindu festival billed as the world’s largest human gathering. Over the course of the 55-day festival, as many as 100 million ascetics and pilgrims traveled by train, car and foot to perform a bathing ritual in the Ganges river in the city of Allahabad. Some came for a single dip while others settled for weeks, inhabiting a temporary tent camp that is arguably the largest pop-up mega city ever erected.

An emergency physician recently contacted me to tell me a story. It all started when her local hospital emergency department received notice that they were on an award list published by a well-known health care grading company. “Terrific!” she said.

When emergency physician Ken Mwatha fell asleep after a shift, he set in motion a chain of events that would change his life – and his practice of emergency medicine – forever.

Could HHS’s new payment structure really save Medicare as much as $960 million over the next three years?

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