Photo: Ricky Carioti/The Washington Post via Getty Images

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

Go deeper

Updated 41 mins ago - Politics & Policy

Supreme Court denies Pennsylvania GOP request to limit mail-in voting

Protesters outside Supreme Court. Photo: Daniel Slim/AFP via Getty Images

The Supreme Court on Monday denied a request from Pennsylvania's Republican Party to shorten the deadlines for mail-in ballots in the state. Thanks to the court's 4-4 deadlock, ballots can be counted for several days after Election Day.

Why it matters: It's a major win for Democrats that could decide the fate of thousands of ballots in a crucial swing state that President Trump won in 2016. The court's decision may signal how it would deal with similar election-related litigation in other states.

Microphones will be muted during parts of Thursday's presidential debate

Photos: Jim Watson and Saul Loeb/AFP via Getty Images

The Commission on Presidential Debates adopted new rules on Monday to mute microphones to allow President Trump and Joe Biden two minutes of uninterrupted time per segment during Thursday night's debate, AP reports.

Why it matters: In the September debate, Trump interrupted Biden 71 times, compared with Biden's 22 interruptions of Trump.

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Annelise Capossela/Axios

  1. Politics: Trump says if Biden's elected, "he'll listen to the scientists"Trump calls Fauci a "disaster" on campaign call.
  2. Health: Coronavirus hospitalizations are on the rise — 8 states set single-day coronavirus case records last week.
  3. States: Wisconsin judge reimposes capacity limit on indoor venues.
  4. Media: Trump attacks CNN as "dumb b*stards" for continuing to cover pandemic.
  5. Business: Consumer confidence surveys show Americans are getting nervousHow China's economy bounced back from coronavirus.
  6. Sports: We've entered the era of limited fan attendance.
  7. Education: Why education technology can’t save remote learning.

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