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U.S. Army Africa / Flickr Creative Commons

A financially and politically powerful group of 121 hospital systems, health insurers, drug companies, physician groups and lobbying firms are asking President Trump not to undermine the movement toward a system that rewards safer and less expensive care.

Obamacare has pushed for the faster adoption of so-called value-based care, where hospitals, doctors, drug makers and others are paid for the best health care outcomes instead of the number of services or products they provide. This concept was further enshrined in the bipartisan MACRA law that was passed last year, although many have argued that law is overly complex.

The letter, sent Wednesday, calls on the Trump administration to back ideas the industry has invested in, like accountable care organizations. Trump's Health and Human Services nominee, Tom Price, isn't a huge fan of MACRA or some of the value-based care projects, like bundled payments.

Some of the signees: The American Hospital Association and many of its health system members like the Cleveland Clinic, Aetna, Anthem, Pfizer and Johnson & Johnson. Some of the other groups and companies that signed the letter, like Evolent Health and Athenahealth, also have a big financial stake in the cause because they provide technology and consulting for value-based care.

Go deeper

Updated 17 mins ago - Politics & Policy

Harris breaks tie as Senate proceeds with lengthy debate on COVID relief bill

Photo: Caroline Brehman/CQ-Roll Call, Inc via Getty Images)

The Senate on Thursday voted 51-50 — with Vice President Kamala Harris breaking the tie — to proceed to debate on President Biden's $1.9 trillion coronavirus rescue package, likely setting up a final vote this weekend.

The state of play: Sen. Ron Johnson (R-Wis.) forced Senate clerks to read the entire 628-page bill on the floor, which took nearly 11 hours and lasted until 2:05 a.m. Friday. The Senate then adjourned and is expected to reconvene at 9 a.m. to debate the bill before considering amendments.

1 hour ago - Health

Cuomo advisers reportedly altered July COVID-19 nursing homes report

New York Gov. Andrew Cuomo. Photo: Seth Wenig/AFP via Getty Images

New York Gov. Andrew Cuomo's advisers successfully pushed state health officials to exclude certain data on the number of COVID-19 nursing home deaths from a July report, the Wall Street Journal reported late Thursday.

Why it matters: The changes resulted in a "significant undercount of the death toll attributed to the state’s most vulnerable population," the WSJ wrote.

Ro Khanna wary of Biden approach on Middle East

Rep. Ro Khanna. Photo: Cody Glenn/Sportsfile for Web Summit via Getty Images

An outspoken progressive Democrat is wary of President Biden’s approach to the Middle East, arguing it’s like “conceding defeat of the aspiration” to win a Nobel Peace Prize.

Why it matters: A number of members of Biden’s own party dislike his Middle East strategy, as his administration signals the region is no longer the priority it was for President Obama and his predecessors.