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We still don’t know what autism is, despite decades of research and billions of dollars spent. We don’t know what causes it or how to treat it. This lack of progress is partly the result of structural deficiencies in how autism research is funded. Fortunately, lessons from financial markets and the venture-capital industry can help solve these problems and accelerate the pace of discovery—for autism and perhaps other medical conditions. (John Rodakis, 9/28)

Americans are dying. Entire towns are being destroyed. Local economies are crippled by addiction. Yet this epidemic can be stopped, it’s solvable. Trump’s opioid commission quickly submitted an interim report that spells out the right approach: It emphasizes treatment, education about pain management for doctors, research and data collection, and rational “supply reduction.” It spells out policy goals based on facts and science. The president should listen to his own experts. Now. (Nikki Sixx, 9/29)

In the good old days, clinicians thought in groups; “rounding,” whether on the wards or in the radiology reading room, was a chance for colleagues to work together on problems too difficult for any single mind to solve. Today, thinking looks very different: we do it alone, bathed in the blue light of computer screens. (Ziad Obermeyer and Thomas H. Lee, 9/28)

In medical and health care studies, “ancillary care” refers to any burden or cost that researchers may take on to address study participants’ medical needs in ways not required for the study’s safety or validity. Providing ancillary care is sometimes obligatory. Its provision may, however, collide with achievement of a study’s aims. How should researchers respond when that happens? (Henry S. Richardson, Nir Eyal, Jeffrey I. Campbell and Jessica E. Haberer, 9/28)

The medical claims that health care providers submit to insurers generally include a Current Procedural Terminology (CPT) code, which describes the medical, surgical, or diagnostic service provided to the patient, as well as a series of International Classification of Diseases diagnostic codes. Under fee-for-service reimbursement, health care organizations and insurers have traditionally focused on accurate CPT coding to ensure that reimbursement matches the services provided. In recent years, however, the medical diagnoses listed in claims have taken on increasing importance as capitated and risk-based payment systems have begun to use these codes to adjust the payments made to health plans and providers. (Bruce E. Landon and Robert E. Mechanic, 9/28)