Bob Herman Jan 18, 2017
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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 Trump's steel and aluminum trade war will hit first

Note: Includes only products under the "Iron & Steel & Ferroalloy" and "Alumina & Aluminum & Processing" NAICS commodity classifications. Data: Census Bureau; Chart: Chris Canipe and Lazaro Gamio / Axios

The Trump administration has begun imposing tariffs on imports of steel and aluminum, but several countries are exempted temporarily until May 1, as shown in the chart above. The administration may still apply quotas on exempted countries to prevent a flood of foreign steel and aluminum in the U.S. market, per the White House.

Why it matters: After railroading past a number of his advisors, Trump announced the tariffs on imports of steel (at 25%) and aluminum (at 10%) earlier this month, citing national security concerns. But with the exemption noted above, the tariffs won't carry major bite, at least to start.

Alexi McCammond 5 hours ago
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Trump signs spending bill despite veto threat

Photo: Mark Wilson/Getty Images

President Trump announced that he has signed the $1.3 trillion spending bill that passed Congress last night "as a matter of national security," citing the bill's increase in defense spending, even though he threatened to veto earlier today. "My highest duty is to keep America safe," Trump said. He said he's disappointed in most of the bill.

Key quote: "I will never sign another bill like this again. I'm not going to do it again. Nobody read it. It's only hours old."