Good morning ... The newsletter is a bit shorter today for the government holiday, but we'll have plenty to look forward to as the week unfolds.
My colleagues Mike Allen and Jonathan Swan broke the news Friday night that President Trump had called Senate Democratic leader Chuck Schumer to talk about a bipartisan health care deal.
My thought bubble: Skeptical confusion.
What they're saying: No one else seems especially bullish on this compromise, either.
Trump will issue a new executive order this week rolling back a handful of Obama-era health care policies and expanding access to cheaper, less comprehensive insurance plans, the Wall Street Journal reports.
The details: According to the WSJ, the order will:
What it means: Association health plans and short-term insurance function similarly: They create lower-cost, less comprehensive options that are most likely to appeal to healthy people.
The fear — among Democrats as well as insurance companies — is that those healthier consumers would choose these new plans and leave only sicker, more expensive consumers buying comprehensive coverage through the ACA's exchanges. If that happens, expect insurers to raise their rates or look for the exit.
Axios' Bob Herman has reported before about the growing power of the American Medical Association group known as the RUC, which makes recommendations to Medicare about physicians' payments. Medicare has been accepting more and more of the RUC's recommendations, meaning doctors have a lot of sway over their own Medicare payments.
So Bob tried to attend a RUC meeting last week in Chicago, in order to tell our readers what it was recommending and how it was arriving at those decisions. Turns out, although those meetings are ostensibly open to the public, attendees have to sign confidentiality agreements that prohibit them from discussing the panel's deliberations. Which sort of defeats the purpose.
Go deeper: Read Bob's full assessment of the AMA's closed-door policy and why it matters for public policy.
What we're watching this week: Trump's executive order.
House Energy and Commerce oversight subcommittee holds a hearing Wednesday on the 340B drug discount program.
Get in touch: As always, I'd love to hear your feedback, questions and tips: firstname.lastname@example.org