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There was a telling exchange in this month’s meeting of the Medicare Payment Advisory Commission that pours some cold water on the fervor to move toward a system that pays hospitals and doctors for how well they take care of patients, instead of how many tests and services they order.

Driving the news: MedPAC was weighing a proposal that would force all doctors to participate in a Medicare accountable care organization. A transcript of the meeting, flagged by the Health Care Blog, revealed that health economist and MedPAC vice chairman Jon Christianson was worried about that idea.

  • "There is not strong evidence that [Medicare Advantage plans and ACOs] have or can reduce costs for the Medicare program or improve quality … But somehow we are assuming that whatever we do going forward, that will change," he said.

The bottom line: We are still in a nascent stage of new health care payment models, but it's not a slam dunk they will meaningfully lower costs or improve quality.

Go deeper: The Trump administration's new primary-care payment models

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Updated 44 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 8 a.m. ET: 19,401,935 — Total deaths: 721,906 — Total recoveries — 11,767,805Map.
  2. U.S.: Total confirmed cases as of 8 a.m. ET: 4,942,747 — Total deaths: 161,367 — Total recoveries: 1,623,870 — Total tests: 60,415,558Map.
  3. Politics: Trump says he's prepared to sign executive orders on coronavirus aid.
  4. Education: Cuomo says all New York schools can reopen for in-person learning.
  5. Public health: Surgeon general urges flu shots to prevent "double whammy" with coronavirus — Massachusetts pauses reopening after uptick in coronavirus cases.
  6. World: Africa records over 1 million coronavirus cases — Gates Foundation puts $150 million behind coronavirus vaccine production.

The silver linings of online school

Illustration: Annelise Capossela/Axios

Online learning can be frustrating for students, teachers and parents, but some methods are working.

The big picture: Just as companies are using this era of telework to try new things, some principals, teachers and education startups are treating remote learning as a period of experimentation, too.

Warren and Clinton to speak on same night of Democratic convention

(Photos: Abdulhamid Hosbas/Anadolu Agency via Getty Images, Sean Rayford/Getty Images)

Sen. Elizabeth Warren and Hillary Clinton both are slated to speak on the Wednesday of the Democratic convention — Aug. 19 — four sources familiar with the planning told Axios.

Why it matters: That's the same night Joe Biden's running mate (to be revealed next week) will address the nation. Clinton and Warren represent two of the most influential wise-women of Democratic politics with the potential to turn out millions of establishment and progressive voters in November.