Jeff Roberson / AP

Centene will sell Affordable Care Act health plans in 40 Missouri counties, including those that would not have had any options after Blue Cross Blue Shield of Kansas City announced earlier this year it was heading for the hills. Centene, which predominantly handles Medicaid, has had a profitable run in the ACA exchanges and is expanding while others flee.

Why it matters: The Kaiser Family Foundation updated its ACA tracker, finding that Centene's move reduced the number of bare ACA counties to 36. The remaining bare counties are in Indiana, Nevada and Ohio, where Anthem has retreated.

Go deeper

Amy Harder, author of Generate
3 hours ago - Energy & Environment

Climate change goes mainstream in presidential debate

Photo illustration: Aïda Amer/Axios. Photo: Olivier Douliery-Pool/Getty

The most notable part of Thursday’s presidential debate on climate change was the fact it was included as a topic and assumed as a fact.

The big picture: This is the first time in U.S. presidential history that climate change was a featured issue at a debate. It signals how the problem has become part of the fabric of our society. More extreme weather, like the wildfires ravaging Colorado, is pushing the topic to the front-burner.

Finally, a real debate

Photo: Morry Gash/AP

A more disciplined President Trump held back from the rowdy interruptions at tonight's debate in Nashville, while making some assertions so outlandish that Joe Biden chuckled and even closed his eyes. A Trump campaign adviser told Axios: "He finally listened." 

The result: A real debate.

Biden to Trump: "I have not taken a penny from any foreign source ever in my life"

Former VP Joe Biden pushed back Thursday against allegations from President Trump, saying he had never profited from foreign sources. "Nothing was unethical," Biden told debate moderator Kristen Welker about his son Hunter's work in Ukraine while he was vice president.

Why it matters: Earlier on Thursday, Hunter Biden's former business partner, Tony Bobulinski, released a statement saying Joe Biden's claims that he never discussed overseas business dealings with his son were "false."

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