Cleveland Clinic named second-best hospital on Earth
The publication's World's Best Hospitals 2025 ranking also put Cleveland Clinic Abu Dhabi at No. 172 — it's also the No. 1 hospital in the United Arab Emirates — and Cleveland Clinic Fairview Hospital at No. 225, out of a total 250 hospitals worldwide.
Local scratch-off wins $500,000 top prize
'This recognition is a direct reflection of our 83,000 caregivers, who form the heart and soul of our global organization,' Cleveland Clinic CEO and President Dr. Tom Mihaljevic, is quoted in a Friday news release. 'Their dedication, compassion and commitment to excellence are the pillars of Cleveland Clinic care. Every day, they answer the call to serve those in need.'
Mayo Clinic – Rochester in Minnesota took the top spot in Newsweek's 2025 list.
Six other Clinic locations in Northeast Ohio and Florida were named in a separate ranking of the best hospitals in the U.S.:
Cleveland Clinic, Cleveland, No. 2
Cleveland Clinic Fairview Hospital, Cleveland, No. 37
Cleveland Clinic Weston Hospital, Weston, Florida, No. 48
Cleveland Clinic Akron General, Akron, No. 81
Cleveland Clinic Hillcrest Hospital, Mayfield Heights, No. 92
Cleveland Clinic Avon Hospital, Avon, No. 299
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Last year, Newsweek dubbed the Cleveland Clinic the World's Best Smart Hospital and one of the World's Best Specialized Hospitals, and acknowledged it as the best in the world for urology.
Other Ohio hospitals named by Newsweek include University Hospitals Cleveland Medical Center in Cleveland, at No. 221, and Ohio State University Wexner – Medical Center in Columbus, at No. 245.
The rankings are based on surveys and data from hospitals in 30 countries, including opinions from more than 85,000 medical experts around the world, patient experiences and outcomes, and quality metrics.
Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
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Newsweek
38 minutes ago
- Newsweek
Medicaid Cuts Threaten to Stall a Breakthrough in Addiction Care
Based on facts, either observed and verified firsthand by the reporter, or reported and verified from knowledgeable sources. Newsweek AI is in beta. Translations may contain inaccuracies—please refer to the original content. The first wave of the opioid epidemic began 26 years ago, and it continues to be a major issue for the health care system today. However, there is one treatment model that shows promise—but it could see progress stunted by future Medicaid cuts. In 2022, 81,806 opioid-involved overdose deaths occurred in the United States, more than any year prior. However, in 2024, overdose deaths relating to synthetic opioids dropped by almost 37 percent from 2023. A form of treatment that has proved and could continue to prove beneficial for treating opioid use disorder (OUD) is the collaborative care model (CoCM). In the SUMMIT randomized clinical trial, published in 2017, 32.8 percent of patients in a CoCM displayed abstinence from opioids or alcohol, as compared to 22.3 percent in standard care. Collaborative care models are revolutionizing treatment for opioid use disorder, combining the expertise of a primary care doctor, behavioral health clinician and consulting specialist, like a psychiatrist or addiction medicine specialist. Collaborative care models are revolutionizing treatment for opioid use disorder, combining the expertise of a primary care doctor, behavioral health clinician and consulting specialist, like a psychiatrist or addiction medicine specialist. Photo-illustration by Newsweek/Canva How do collaborative care models work? The CoCM is depicted as a triangle and involves a behavioral health clinician, a consulting specialist (like a psychiatrist or addiction medicine specialist) and a primary care provider, collaborating to provide behavioral health services to a patient. This treatment model stems from research conducted at the University of Washington at its Advancing Integrated Mental Health Solutions (AIMS) Center to understand whether it was possible to leverage the power of the relationship between a primary care physician and their patient while also increasing access to mental health services. Dr. Rachel E. Kishton, a physician at Penn Medicine, headquartered in Philadelphia, was recently named medical director of the Penn Integrated Care (PIC) program, where she oversees Penn's integrated and collaborative care programs. "By including everything within the primary care setting and centering that relationship between the primary care physician and the patient, you get over the hump of the fear and stigma related to it but also start from a place of trust," Kishton told Newsweek. Collaborative care models have been used to treat individuals with disorders like OUD and alcohol use disorder but are also used to treat mental health disorders. Within this lies the biggest challenge in treating patients for OUD using a CoCM. More often than not, OUD is accompanied by comorbid mental health disorders. According to Kishton, the need for a shift to more immediate and definitive treatment for mental health disorders is overlooked, compared to other disciplines in medicine. Kishton provided the metaphor of a patient having a heart attack. In that scenario, the patient should be rushed to the catheterization lab, not kept in an outpatient office and given aspirin. The distinction isn't always clear when a patient is having a mental health crisis. Physicians need better guidelines to respond to behavioral health patients with the proper level of urgency, the same way they would for a patient experiencing physical symptoms. "More research is definitely needed to understand when you send someone to the cath lab," she said, continuing the metaphor. "We need to ensure this research is continued to understand what the next steps are." Dr. Tyler Winkelman, a primary care physician at Hennepin Healthcare in Minneapolis, explained that often patients with depression or anxiety come in with the understanding that they have the disorder, whereas OUD patients often have yet to recognize what they're dealing with. "We've had a lot of success in referring patients with anxiety, depression and alcohol use disorders to the model," Winkelman said. "It has been trickier to figure out how to adapt the model for people with opioid use disorder." As a result of this, Hennepin recently started shifting its CoCM strategy. It previously treated OUD similarly to mental health disorders and is now using the model to prioritize care coordination and access, since that's what the patient population needs most. The collaborative care model is a highly evidence-based and adaptable form of treatment. The behavioral health clinician in the model will typically utilize evidence-based therapy modalities, including cognitive behavioral therapy and behavioral activation. The typical progression for these programs is six to eight sessions with a therapist over three to four months. However, despite the model appearing somewhat formulaic, Kishton emphasized that collaborative care programs vary across institutions. "If you've seen one collaborative care program, you've seen one collaborative care program," Kishton said. "They can be very different, depending on what the goals are, where the funding's coming from and what the core patient group is that you're working with." How do collaborative care models help build patient trust? In addition to Penn Medicine, other institutions around the country are working to create collaborative care programs to serve this patient population. Dr. Gavin B. Bart, who has been a physician of internal and addiction medicine at Hennepin Healthcare for 20 years now, believes the collaborative care model is instrumental in helping people with substance-abuse disorders. "People with substance use disorders are complicated because they've been so marginalized by the health care system," Bart said. "Having care coordination within a single site helps prevent the fragmentation of care that is sort of the standard right now." The CoCM addresses this fragmentation of care by providing patients with direct and immediate access to care within one facility, preventing them from having to find and build trust with a new provider. "The initial part of treating addiction requires much more upfront management to make sure the patient's needs are being mapped, their withdrawal is being managed and other medical issues are managed," said Bart. "And it should be done in a quick manner, otherwise the patients walk away and don't come back." Nurse Practitioner Brenda Bauch works within Hennepin's addiction clinic and shed some light on the vulnerability patients often come into the clinic with. "We see patients who often have a distrust of doing something new," Bauch said. "We have access to effective FDA-approved medications for OUD. That's wonderful and can be life-changing. But initially, it's about saying, 'You're welcome here in wherever you're at in your state of transformative change.'" Could Medicaid cuts limit access to collaborative care? Hennepin Healthcare provides services through grants provided by the Substance Abuse and Mental Health Services Administration (SAMHSA). However, Minnesota's state Medicaid agency is yet to adopt the billing codes that cover the cost of a collaborative care program. Bart and Winkelman from Hennepin Healthcare expressed concern regarding pending Medicare and Medicaid cuts. "As a public safety net hospital, we're certainly concerned about the potential cuts," Bart said. "The best we can do to preserve our finances is not squander the knowledge we've gathered through research and public health information. There's data that tells us for every dollar invested in treatment, the amount of savings that occur elsewhere in society in terms of reduced rates of incarceration, increased employment rates and more. We need to not lose touch with that as we create our plans, moving forward, to make America healthy." Despite this possible obstacle, Hennepin Healthcare has been largely successful in helping OUD patients transform their lives. Aside from sharing concerns regarding the financial sustainability of the collaborative care program at Hennepin, Winkelman, too, is "extremely optimistic" about the model's future in treating OUD and other disorders. "I've had so many patients in the last two years benefit dramatically from these services, and we've really been able to help patients get back on their feet," he said. "It has improved the quality of health care that we've provided. And I really see it as the standard of care moving forward in primary care." What's on the horizon for collaborative care models? Currently, research is shifting to examine not only how the collaborative care model can address substance abuse symptoms but also the co-occurring mental health conditions. Penn Medicine's Whole Health Study focused on this with a randomized controlled trial designed to assess collaborative care models and their effectiveness in treating patients for OUD and the comorbid mental disorders that accompany it. The study utilized three conditions. In the first, primary care doctors were prescribing buprenorphine and referring patients out for mental health care. Currently, buprenorphine, a Schedule 3 controlled substance, is one of the medications most commonly used to treat OUD and help patients reduce or quit their opioid usage. In the second condition, a collaborative care model was implemented with a licensed clinical social worker and a psychiatrist who were providing mental health treatment within the primary care practice. The final condition added a peer or certified recovery specialist to increase treatment engagement and retention. The study's principal investigator, David Mandell, professor of psychiatry and director of the Penn Center for Mental Health, shared details regarding the initial results the center recently shared with the College on Problems of Drug Dependence (CPDD) organization in New Orleans. "In all three conditions, there's a substantial reduction in opioid use, and [use] stays low for the six months they're in [the CoCM]," said Mandell. "But our collaborative care condition also results in substantial reduction in psychiatric symptoms and even remission from psychiatric disorder, relative to the usual care condition." 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"This suggests they liked their doctors, thought the treatment was effective and thought people were meeting them where they were." Mandell believes one of the main reasons for this is the harm reduction approach used by Penn primary care doctors, in which they're more responsive to patients' needs and don't use the punitive approach often taken to OUD patients. When asked about the most rewarding part of the trial, Mandell mentioned seeing how much the primary care doctors loved the model, because they've been eager to secure a high level of support for their patients for a long time. Mandell also enjoyed reading patient testimonials, talking about how much they loved their therapists and benefited from their treatment. "The emails we get, where they say, 'You've turned my life around. Things are so great,' relative to what they were. 'I don't know what I would've done without this social worker.' That's very rewarding," said Mandell. 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What is a chocolate cyst? The growth Bindi Irwin had removed — along with 51 lesions and her appendix
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'I went for 10 years undiagnosed because doctors really didn't know enough, they diagnosed me with a million other things, like IBS, or hormones, or 'It's just part of being a woman,'' she explained. 'The symptoms continued to snowball, and it took me such a long time to find help.' 4 Irwin underwent surgery in March 2023 to treat her endometriosis. Instagram/@bindisueirwin Endometriomas like the ones Irwin recently had removed are signs of a more advanced stage of endometriosis. Irwin first underwent surgery to treat her condition in March 2023. What are complications of chocolate cysts? Beyond severe pelvic pain, complications of ovarian endometriomas include constipation, inflammation of the ovaries and fallopian tubes, an increased risk of ovarian cancer, infertility as a result of scar tissue, and the possibility of an endometrioma rupture, wherein the cyst opens and leaks, causing additional pain. 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Newsweek
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How Digital Screens Harm Your Eyes—and Simple Ways to Protect Them
Based on facts, either observed and verified firsthand by the reporter, or reported and verified from knowledgeable sources. When we talk about unplugging, detoxing and setting time limits these days, we're no longer referring to cables, dieting or deadlines. The way we describe our relationships with technology suggests we're being plagued by the endless scrolling and the constant notification in our digital lives. On average, Americans spend 5 hours and 16 minutes on their phones every day, a 2025 report from health data management firm Harmony Healthcare IT found. And yet, more than half, 53 percent, say they want to cut down on phone usage. The consequences of screen addiction are most often associated with feelings of anxiety and depression, raising serious concerns about the mental health toll of being online. But the physical impacts are just as real. Nearly 7 in 10 Americans said they experienced phone-related health issues in the last year—the most common issue being eye strain, a condition that was reported in more than 4 in 10 Americans. "Being in the digital age, we're increasingly surrounded by screens. Even in school, instead of learning how to write on paper, [kids] are just typing on their iPads or laptops," ophthalmologist Dr. Bryan M. Kim told Newsweek. Photo-Illustration by Newsweek/Getty Although prolonged screen usage isn't directly linked to a higher risk of serious eye conditions, it's increasingly associated with higher rates of myopia, or nearsightedness. Today in the U.S., it's estimated that more than 40 percent of the population, roughly 130 million people, are nearsighted. "That's a sharp increase from 50 years ago, when about 25 percent [of the population] were nearsighted," Kim said. Myopia, however, can greatly advance the risk of other eye issues that are much more severe. Kim—the No. 2 retina surgeon in the U.S., according to Newsweek's America's Leading Doctors 2025 ranking—said that nearsighted individuals are five to six times more likely to experience retinal detachment. They're also at a higher risk of glaucoma, which can cause enough damage to require surgery, and a higher risk of early cataract formation. "There are a lot of ways that increased use of screens impact ocular health," Kim warned. While myopia is a bigger concern for children because their eyes are still developing, screen use can also be an issue for adults. To avoid suffering from eye strain or dry eye, Kim recommends that his patients, even the older ones, take a break from their devices every 20 minutes. That can mean closing their eyes for just a minute or trying to focus on something far away, pretty much anything that does not involve looking at a glowing screen. "We call it digital dry eye," Dr. Nicole R. Fram, the No. 3 ranked cataract surgeon in America, told Newsweek. Fram explained that tear film—the thin fluid that covers the surface of your eye—is the first thing that light rays hit. So, the lubrication provided by the tear film is essential to your vision. However, if someone stares at a screen too long and isn't regularly blinking, their eyes are not stimulating the system that makes tears. Dr. Timothy P. Page, the nation's fifth-ranked cataract surgeon, told Newsweek it's the same outcome that would stem from "staring at a brick wall all day long." "If you're not blinking and staring at fine detail or anything up close, that interferes with the blink reflex," Page said. "We definitely see more complaints related to computer use, but it's not that the computer is actually doing anything bad to the eye, it's just that staring at something up close for so long, for so many hours a day, causes eye strain and dry eye." Still, he noted that with the increase in screen time, "dry eye disease has really become more of an issue than it was 20 or 30 years ago." One of the biggest surgical concerns that come with evaporating tear film is that it could lead to negative consequences for a patient in recovery. "Treating dry eye prior to cataract surgery allows you to get better measurements and to know what to put in the eye," Fram said. "It also allows you to have a better result after surgery because you have a healthier ocular surface for light rays to be focused on." Fram emphasized that even though tech usage doesn't cause cataracts, "it's very important to be aware of your digital screen time." "You want to take breaks, and you want to do active blinking because it can affect your ultimate outcome from refractive surgery, if you're younger, or refractive cataract surgery when you're older," she said. Other best practices Fram recommends to her patients include eating green leafy vegetables and unsaturated fats, which help support photoreceptors and tear film, respectively. She said patients can also take omega-3 supplements to help with overall eye health, use warm compresses and keep their eyelids clean from bacteria. Page also suggests that patients protect their eyes from UV rays, whether by limiting exposure or wearing sunglasses, and regularly see an eye specialist to monitor for issues like chronic dry eye, glaucoma and macular degeneration. "Ocular health is an important, but sometimes neglected, part of our overall health," Kim said. "Sometimes an eye exam can pick up undetected diabetes or high blood pressure or other systemic diseases."
