U.S. Secretary of Health and Human Services Alex Azar. Photo: Alex Wong/Getty Images

Under the leadership of then-Secretary Tom Price, the Department of Health and Human Services substantially rolled back mandatory pilot programs. But Price isn’t the boss any more, and mandatory demonstration programs are back.

How it works: HHS is on a perpetual quest to change the way Medicare pays for care. One leading part of that effort involves bundling together the many individual payments Medicare would normally make for a one procedure.

  • Because that model hasn’t been perfected yet, and because the whole idea here is to save Medicare money — which means paying out less in reimbursements — it’s not always easy to get doctors on board voluntarily.

“Real experimentation ... requires a willingness to try mandatory models. We know they are the most effective way to know whether these bundles can successfully save money and improve quality,” HHS Secretary Alex Azar said yesterday.

  • “We need results, American patients need change, and when we need mandatory models to deliver it, mandatory models are going to see a comeback,” he said.

The bottom line: Providers won’t be happy. But people who want to reform the delivery system will be.

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Jeff Sessions loses Alabama Senate primary runoff

Jeff Sessions. Photo: Michael DeMocker/Getty Images

Former Attorney General Jeff Sessions has lost the Republican nomination for Senate to Tommy Tuberville in Alabama in Tuesday night’s primary runoff, AP reports.

Why it matters: Sessions had been the underdog in the race against former Auburn University head football coach Tommy Tuberville, who had the backing of President Trump. Tuberville will now face off against Sen. Doug Jones (D-Ala.) in November, who is considered to have one of the most vulnerable Democratic Senate seats in the country.

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Global: Total confirmed cases as of 9 p.m. ET: 13,273,537 — Total deaths: 577,006 — Total recoveries — 7,367,106Map.
  2. U.S.: Total confirmed cases as of 9 p.m. ET: 3,424,304 — Total deaths: 136,432 — Total recoveries: 1,049,098 — Total tested: 41,764,557Map.
  3. Politics: Biden welcomes Trump wearing mask in public but warns "it’s not enough"
  4. Public health: Four former CDC heads say Trump's undermining of agency puts lives at risk — CDC director: U.S. could get coronavirus "under control" in 4–8 weeks if all wear masks.

Bank CEOs brace for worsening economic scenario

JPMorgan CEO Jamie Dimon. Photo: J. Lawler Duggan/For The Washington Post via Getty Images

Wells Fargo swung to its first loss since the financial crisis — while JPMorgan Chase and Citigroup reported significantly lower profits from a year earlier — as the banks set aside billions of dollars more in the second quarter for loans that may go bad.

Why it matters: The cumulative $28 billion in loan loss provisions that banks have so far announced they’re reserving serves as a signal they’re preparing for a colossal wave of loan defaults as the economy slogs through a coronavirus-driven downturn.