Jan 18, 2017

Health care groups are still embracing Obamacare models

Ruhrfisch / Flickr Creative Commons

More hospitals and physicians are participating in financing and delivery models established by the Affordable Care Act — even though Republicans are determined to repeal the law and have offered no details on replacing those models.

What's happening: In a report Wednesday, the Centers for Medicare and Medicaid Services said more health care providers are enrolling in so-called alternative payment models, where hospitals and doctors form networks and are paid based on how well they care for patients. One of the most common models is the accountable care organization.

Why it matters: The continued interest in these models, despite the threat of Obamacare repeal, indicates that health care leaders believe these practices have some staying power.

More than 12 million Medicare members are now served through one of these Obamacare payment models.

The model to watch: Medicare's Next Generation accountable care organizations are some of the most interesting projects because they require hospitals and doctors to take on more financial risk for the quality and safety of their patient care. There were 18 Next Generation groups in 2016, and that has expanded to 45 for this year. Some interesting tidbits from that model:

  • The government was able to attract some big health system names into the Next Generation program. They include Dartmouth-Hitchcock, a well-known system in New Hampshire that initially passed on the program, and Sharp HealthCare, a San Diego-based network that bailed on an early version of an accountable care organization model in 2014.
  • UnitedHealth Group is participating in Next Generation through its Optum subsidiary. The insurance conglomerate clearly is investing more in its provider services.
  • More providers can join the Next Generation program. The federal government is accepting new applicants for 2018.

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Where it stands: More than 14,800 people have died of COVID-19 in the U.S. — including over 4,500 in New York. The state's death toll surged to its highest one-day total on Wednesday — beating the previous day's record. 779 people died in New York in 24 hours. N.Y. has reported more cases than the most-affected countries in Europe.

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Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Global: Total confirmed cases as of 3 a.m. ET: 1,484,811 — Total deaths: 88,538 — Total recoveries: 329,876Map.
  2. U.S.: Total confirmed cases as of 3 a.m. ET: 432,132 — Total deaths: 14,817 — Total recoveries: 23,906Map.
  3. Federal government latest: Top Trump administration officials had been developing a plan to give cloth masks to huge numbers of Americans, but the idea lost traction amid heavy internal skepticism.
  4. States latest: New York has reported more cases than the most-affected countries in Europe. Chicago's Cook County jail is largest-known source of coronavirus in U.S.
  5. Business: One-third of U.S. jobs are at risk of disappearing, mostly affecting low-income workers.
  6. World: WHO Director-General Tedros Adhanom Ghebreyesus urged countries to put politics aside "if you don’t want to have many more body bags.”
  7. Environment: COVID-19 is underscoring the connection between air pollution and dire outcomes from respiratory diseases.
  8. Tech: A new report recommends stimulus spending to help close the digital divide revealed by social distancing.
  9. What should I do? Pets, moving and personal healthAnswers about the virus from Axios expertsWhat to know about social distancingQ&A: Minimizing your coronavirus risk.
  10. Other resources: CDC on how to avoid the virus, what to do if you get it.

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