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.

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Updated 47 mins ago - World

China says U.S. is "endangering peace" with high-level visit to Taiwan

Health and Human Services Secretary Alex Azar during a June briefing in Washington, DC. Photo: Joshua Roberts/Getty Images

Health and Human Services Secretary Alex Azar announced Tuesday night he will lead a delegation to Taiwan "in the coming days."

Why it matters: It's the highest-level visit by a U.S. cabinet official to Taiwan since 1979. Azar is also the first U.S. Cabinet member to visit the island state in six years. The visit has angered China, which views Taiwan as part of its territory. Chinese officials accused the U.S. Wednesday of "endangering peace" with the visit, AFP reports.

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 3:30 a.m. ET: 18,543,662 — Total deaths: 700,714 — Total recoveries — 11,143,031Map.
  2. U.S.: Total confirmed cases as of 3:30 a.m. ET: 4,771,236 — Total deaths: 156,807 — Total recoveries: 1,528,979 — Total tests: 57,543,852Map.
  3. States: New York City health commissioner resigns in protest of De Blasio's coronavirus response — Local governments go to war over schools.
  4. Public health: 59% of Americans support nationwide 2-week stay-at-home order in NPR poll.
  5. Politics: Trump's national security adviser returns to work after coronavirus recovery Republicans push to expand small business loan program.
  6. Sports: Indy 500 to be held without fansRafael Nadal opts out of U.S. Open.
Updated 3 hours ago - World

At least 100 killed, 4,000 injured after massive explosion rocks Beirut

Photo: Anwar Amro/AFP via Getty Images

A major explosion has slammed central Beirut, Lebanon, damaging buildings as far as several miles away and injuring scores of people.

Driving the news: At least 100 people have been killed and over 4,000 injured in the blast — and the death toll is likely to rise, the Lebanese Red Cross said, per AP. Prime Minister Hassan Diab said the explosions occurred at a warehouse that had been storing 2,750 tons of ammonium nitrate for the past six years.