With 30% or greater ACA premium hikes, could the program be headed towards a death spiral?...RAM members represent the Academy well at MSV's Annual Meeting as Dr. Mark Townsend is sworn in as MSV's new president... Virginia prepares for the impending end of SNAP benefits due to DC gridlock...Optum debuts an AI enhanced system for providers to monitor patient claims in real time...The average family health plan hits $27K annually...Hair-raising Halloween ER visit reasons...Is a Congressional bill a way to preserve innovation in the pharmaceutical industry, or just a way to keep drug prices high?...Lots of goings-on in DC...mRNA vaccines may help cancer patients live longer...Daylight saving time ends this weekend...Are you covered in case of a cyber disaster?...One woman stood in the way of a historic Big Pharma scandal 65 years ago this month, sparing the U.S. the brunt of thalidomide birth defects...And much, much more in this week's edition of The Leg.Up!