Some states are trying to control health care costs by tying hospital payments in their state employee health plans to the amounts Medicare pays, Kaiser Health News reports.

Details: States experimenting with these measures include North Carolina, Montana, Oregon and potentially, Delaware.

The other side: This is a nightmare scenario for hospitals, which usually charge private insurance plans several times more than they get from Medicare.

  • Hospitals say Medicare underpays them, and they must charge private patients more to recoup the costs.

Reality check: Hospitals are doing very well financially, although it's also true that many rural hospitals — which have a lot of Medicaid patients — are already struggling.

What they're saying: "Government workers will get it first, then everyone else will see the savings and demand it," Glenn Melnick, a professor at the University of Southern California, told KHN. "This is the camel's nose. It will just grow and grow."

Go deeper: How hospitals protect high prices

Go deeper

Gulf Coast braces for Zeta after storm strengthens into hurricane

Hurricane Zeta's forecast path. Photo: National Hurricane Center

Louisiana Gov. John Bel Edwards (D) declared a state of emergency Monday as Zeta strengthened into a hurricane and threatened Mexico's Yucatan Peninsula as it moved towards the U.S. Gulf Coast.

The state of play: Zeta was expected to make landfall on the northern part of the Yucatan Peninsula Monday night, bringing with it a "dangerous storm surge" and "heavy rainfall" as it moved into the Gulf of Mexico, the National Hurricane Service said.

Updated 1 hour ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Politics: The swing states where the pandemic is raging — Pence no longer expected to attend Barrett confirmation vote after COVID exposure.
  2. Health: 13 states set single-day case records last week
  3. Business: Where stimulus is needed most.
  4. Education: The dangerous instability of school re-openings.
  5. World: Restrictions grow across Europe.
  6. Media: Fox News president and several hosts advised to quarantine.

Supreme Court rejects request to extend Wisconsin absentee ballot deadline

Photo: Saul Loeb/AFP via Getty Images

The Supreme Court in a 5-3 decision Monday rejected an effort by Wisconsin Democrats and civil rights groups to extend the state's deadline for counting absentee ballots to six days after Election Day, as long as they were postmarked by Nov. 3.

Why it matters: All ballots must now be received by 8 p.m. on Election Day in Wisconsin, a critical swing state in the presidential election.

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