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Data: Centers for Medicare & Medicaid Services via Health Management Associates; Chart: Axios Visuals

States and the federal government paid health insurance companies $307 billion in 2018 to run Medicaid programs, according to the latest numbers obtained by consultancy Health Management Associates. That was 52% of all Medicaid spending — up significantly from 2007, when private insurers handled 20% of Medicaid spending.

The big picture: This shift has occurred, and will continue, because more states are privatizing their Medicaid programs and because the Affordable Care Act expanded Medicaid eligibility to more low-income people. However, costs and quality concerns linger over Medicaid managed care.

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30 mins ago - World

Ethiopia's Nobel Peace laureate cracks down on ethnic violence

The image of a Nobel Peace laureate in military fatigues encapsulates the moment in which Ethiopia finds itself — on the verge of a transition to democracy, a descent into violence or, perhaps, a precarious combination of the two.

Driving the news: At least 166 people were killed after an iconic musician, Haacaaluu Hundeessaa, was murdered last Monday in Addis Ababa, the capital. Prime Minister Abiy Ahmed responded to the violence by sending in troops and shutting off the internet. High-profile opposition leaders were arrested, along with some 2,300 others.

Updated 2 hours ago - Health

Atlanta Mayor Keisha Lance Bottoms tests positive for coronavirus

Atlanta Mayor Keisha Lance Bottoms said on Monday that she has tested positive for the coronavirus after displaying no symptoms.

Why it matters: Bottoms, one of several Black women on the shortlist to be Joe Biden's running mate, has risen to national prominence in recent months as part of mass protests over racism and police brutality — driven in part by the killing of Rayshard Brooks by Atlanta police.

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Eniola Odetunde/Axios

  1. Global: Total confirmed cases as of 7:30 p.m. ET: 11,565,541 — Total deaths: 536,658 — Total recoveries — 6,258,697Map.
  2. U.S.: Total confirmed cases as of 7:30 p.m. ET: 2,922,000 — Total deaths: 130,208 — Total recoveries: 924,148 — Total tested: 36,032,329Map.
  3. Public health: Case growth outpacing testing in hotspots.
  4. States: West Virginia becomes latest state to mandate facial coverings in public.
  5. Politics: Atlanta Mayor Keisha Lance Bottoms tests positiveCuomo accuses Trump of "enabling" the coronavirus surge — Sen. Chuck Grassley opts out of attending GOP convention over coronavirus concerns.