Axios

The Adeptus Health saga is about to enter a new chapter — Chapter 11. Hedge fund Deerfield Management will buy Adeptus' debt and push the emergency room operator through bankruptcy, the companies said Tuesday.

Deerfield, which owns 10% of Adeptus, also agreed to make rent and lease payments to Medical Properties Trust, which owns Adeptus' emergency room properties. Adeptus defaulted on loan payments that were due March 31, but Deerfield plans on waiving the default and pouring more money into Adeptus' facilities to keep them operating.

The bottom line: Adeptus, which pondered a sale last month, is a shell of itself. And it's not clear how Deerfield's restructuring plan will change Adeptus' underlying financial problems with its emergency rooms.

The White House and Republicans are talking seriously about reviving Trumpcare, and they think they've found the ticket: fewer Obamacare insurance regulations and more high-risk pool plans, which offer coverage that's subsidized by a state government. Will it be enough to win over the Freedom Caucus? Chairman Mark Meadows said last night that the group wants to see the legislative text. Will it actually gain votes that Republicans didn't already have? Not clear yet.

Here's the latest, and a reality check on what it all means:

Amino has raised $25 million in venture funding, led by Highland Capital Management, as the health care startup expands its transparency technology to employers, doctors and hospitals. Amino has now raised $45 million from investors since it started in 2013.

What Amino does: Anyone can go to Amino's website for free and look up a procedure or treatment in their area. Amino spits out names of doctors and hospitals based on a person's health insurance carrier, and people can see how much it could cost to see a provider and book an appointment. "The need for transparency is something that everyone seems to be clamoring for," Amino CEO and co-founder David Vivero told Axios.

Medicare Advantage and Part D payment rates will increase by 0.45% on average for 2018, barely above the 0.25% that the Centers for Medicare and Medicaid Services proposed in February. The average rate will go up by 2.95% after estimating how health insurers and pharmacy benefit managers code the health risks of their Medicare members, CMS said Monday.

Between the lines: Not much changed between the final 2018 guidance and the proposal for Medicare Advantage, which spends about $200 billion per year. This was the last Medicare policy document from the Obama administration, and President Trump's team didn't have a lot of time to make its own changes. But the 185-page final notice contains some wins for the insurance industry.

Florida Blue, the dominant health insurance company in the state, is still reaping huge profits from its Obamacare plans — a stark difference from the doom and gloom portrayed by other insurers.

Florida Blue sits in one of the most competitive Obamacare exchanges and made money on those plans in 2015. And last year, Florida Blue more than doubled its bottom line by registering a gross profit (before taxes and other expenses) of almost $1.1 billion just on its Obamacare plans sold on and off the exchanges, according to financial documents analyzed by Axios.

Why this matters: President Trump and Republicans, snakebit after their failed health care reform, keep insisting Obamacare is exploding. But as Florida Blue shows, that isn't really the case. Many insurers like Aetna and UnitedHealth Group have lost money selling Obamacare plans and either have left or are considering leaving the marketplaces, but others are doing fine. A struggling marketplace in Arizona has no bearing on what goes on in Florida.