Molly Riley / AP

The Centers for Medicare and Medicaid Services unveiled a proposal Tuesday that would cancel some mandatory bundled payments, which are experiments where hospitals and doctors are paid fixed amounts for certain surgeries and procedures. The Affordable Care Act created an agency to carry out bundled payments and other projects.

The rule would eliminate Medicare bundled payments to hospitals for heart attacks, bypass surgery, hip fractures, and femur fractures. The federal government also scaled back its bundled payment program for hip and knee replacements by proposing to trim the number of mandatory geographic areas in half.

Context: This was expected, as we detailed in Monday's Vitals. But the gravity is not diminished. Hospitals weren't thrilled about the mandatory nature of the pilot programs, yet some health policy experts have viewed bundled payments as worthwhile experiments that could temper Medicare costs.

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Updated 13 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 11 p.m. ET: 19,511,596 — Total deaths: 724,590 — Total recoveries — 11,876,387Map.
  2. U.S.: Total confirmed cases as of 11 p.m. ET: 4,995,369 — Total deaths: 162,461 — Total recoveries: 1,643,118 — Total tests: 61,080,587Map.
  3. Politics: Trump signs 4 executive actions on coronavirus aid — Democrats slam Trump, urge GOP to return to negotiations
  4. Public health: Fauci says chances are "not great" that COVID-19 vaccine will be 98% effective — 1 in 3 Americans would decline COVID-19 vaccine.
  5. Science: Indoor air is the next coronavirus frontline.
  6. Schools: How back-to-school is playing out in the South as coronavirus rages on — Princeton, Johns Hopkins, Howard to hold fall classes online.

Trump signs 4 executive actions on coronavirus aid

President Trump speaking during a press conference on Aug. 8. Photo: Jim Watson/AFP via Getty Images

President Trump on Saturday signed four executive actions to provide relief from economic damage sustained during the coronavirus pandemic after talks between the White House and Democratic leadership collapsed Friday afternoon.

Why it matters: Because the Constitution gives Congress the power to appropriate federal spending, Trump has limited authority to act unilaterally — and risks a legal challenge if congressional Democrats believe he has overstepped.

10 hours ago - World

What's next for Lebanon after the Beirut explosion

Photo: Houssam Shbaro/Anadolu Agency via Getty Images

Beirut residents are still clearing rubble from streets that appear war-torn, days after a blast that shocked the country and horrified the world.

Why it matters: The explosion is likely to accelerate a painful cycle Lebanon was already living through — discontent, economic distress, and emigration.