Mary Mayhew. Photo: Derek Davis/Portland Press Herald via Getty Images

Mary Mayhew, a former health commissioner under Maine Gov. Paul LePage, started yesterday as the director of the federal office that directly oversees Medicaid.

Why it matters: The Trump administration is focused intently on reframing Medicaid as something closer to a welfare program, and has arguably made more significant conservative policy changes to Medicaid than to any of the other programs it oversees.

  • Mayhew shared LePage’s staunch opposition to expanding Medicaid, and under her leadership the state proposed some of the most aggressive eligibility rollbacks of any state.
  • Maine sought permission to impose work requirements, as well to limit how long people could maintain Medicaid coverage and to mandate drug testing for Medicaid beneficiaries.

Seema Verma, who oversees Medicare and Medicaid and is now Mayhew’s boss, came from a similar background — she was a consultant who helped red states write their proposed Medicaid waivers.

Go deeper

Ina Fried, author of Login
25 mins ago - Technology

Candidates go online to cut through debate noise

Photo: Saul Loeb/AFP via Getty Images

While President Trump and Joe Biden fought to be heard in a rowdy debate Tuesday, both campaigns sought to draw digital battle lines and occupy online turf they could have all to themselves.

The big picture: Trump's impulsive Twitter style made a shambles of the debate format, but online the candidates were able to find niches where they couldn't be interrupted — and could motivate their supporters to donate, organize and turn out to vote.

Ben Geman, author of Generate
1 hour ago - Energy & Environment

Shell plans up to 9,000 job cuts by 2022

A Shell station in Brazil. Photo: Rafael Henrique/SOPA Images/LightRocket via Getty Images

Royal Dutch Shell will shed up to 9,000 jobs as it undergoes a long-term restructuring around climate-friendly energy sources and continues to grapple with the coronavirus pandemic that has battered the oil industry.

Why it matters: The cuts could amount to over 10% of the company's global workforce, which was 83,000 at the end of 2019.

Caitlin Owens, author of Vitals
1 hour ago - Health

The coronavirus' alarming impact on the body

Illustration: Eniola Odetunde/Axios

Scientists are racing to learn more about the damage the novel coronavirus can do to the heart, lungs and brain.

Why it matters: It’s becoming increasingly clear that some patients struggle with its health consequences — and costs — far longer than a few weeks.