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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 4 hours ago - Politics & Policy

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Illustration: Sarah Grillo/Axios

  1. Health: Large coronavirus outbreaks leading to high death rates — Coronavirus cases are at an all-time high ahead of Election Day — U.S. tops 88,000 COVID-19 cases, setting new single-day record.
  2. Politics: States beg for Warp Speed billions.
  3. World: Taiwan reaches a record 200 days with no local coronavirus cases.
  4. 🎧Podcast: The vaccine race turns toward nationalism.

Technical glitch in Facebook's ad tools creates political firestorm

Facebook CEO Mark Zuckerberg. Photo: SOPA Images / Contributor

Facebook said late Thursday that a mix of "technical problems" and confusion among advertisers around its new political ad ban rules caused issues affecting ad campaigns of both parties.

Why it matters: A report out Thursday morning suggested the ad tools were causing campaign ads, even those that adhered to Facebook's new rules, to be paused. Very quickly, political campaigners began asserting the tech giant was enforcing policies in a way that was biased against their campaigns.

5 hours ago - Health

States beg for Warp Speed billions

A COVID-19 drive-thru testing center yesterday at Hard Rock Stadium in Miami Gardens. Photo: David Santiago/Miami Herald via AP

Operation Warp Speed has an Achilles' heel: States need billions to distribute vaccines — and many say they don't have the cash.

Why it matters: The first emergency use authorization could come as soon as next month, but vaccines require funding for workers, shipping and handling, and for reserving spaces for vaccination sites.