Sign up for our daily briefing

Make your busy days simpler with Axios AM/PM. Catch up on what's new and why it matters in just 5 minutes.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Catch up on the day's biggest business stories

Subscribe to Axios Closer for insights into the day’s business news and trends and why they matter

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Sign up for Axios Pro Rata

Dive into the world of dealmakers across VC, PE and M&A with Axios Pro Rata. Delivered daily to your inbox by Dan Primack and Kia Kokalitcheva.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Sports news worthy of your time

Binge on the stats and stories that drive the sports world with Axios Sports. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Tech news worthy of your time

Get our smart take on technology from the Valley and D.C. with Axios Login. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Get the inside stories

Get an insider's guide to the new White House with Axios Sneak Peek. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Denver news?

Get a daily digest of the most important stories affecting your hometown with Axios Denver

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Des Moines news?

Get a daily digest of the most important stories affecting your hometown with Axios Des Moines

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Twin Cities news?

Get a daily digest of the most important stories affecting your hometown with Axios Twin Cities

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Tampa Bay news?

Get a daily digest of the most important stories affecting your hometown with Axios Tampa Bay

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Charlotte news?

Get a daily digest of the most important stories affecting your hometown with Axios Charlotte

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Nashville news?

Get a daily digest of the most important stories affecting your hometown with the Axios Nashville newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Columbus news?

Get a daily digest of the most important stories affecting your hometown with the Axios Columbus newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Dallas news?

Get a daily digest of the most important stories affecting your hometown with the Axios Dallas newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Austin news?

Get a daily digest of the most important stories affecting your hometown with the Axios Austin newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Atlanta news?

Get a daily digest of the most important stories affecting your hometown with the Axios Atlanta newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Philadelphia news?

Get a daily digest of the most important stories affecting your hometown with the Axios Philadelphia newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Chicago news?

Get a daily digest of the most important stories affecting your hometown with the Axios Chicago newsletter.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Sign up for Axios NW Arkansas

Stay up-to-date on the most important and interesting stories affecting NW Arkansas, authored by local reporters

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Sandeep Patel, Open Innovation Manager at the U.S. Dept. of Health and Human Services. Photo: Chuck Kennedy for Axios

The big picture: Axios Health Care Business Reporter Bob Herman hosted a roundtable conversation on Tuesday to discuss innovations in chronic kidney disease treatment and care. Sitting down with experts across academia and the public and private sectors, the conversation highlighted the substantial burden placed on patients with chronic kidney disease, the importance of making continuing education for primary care providers accessible, and brainstorming ways of having earlier interventions.

Why it matters: 37 million Americans struggle with kidney disease, and often diagnosis comes after the kidneys are already severely impacted.

Education and early intervention
Tonya Saffer, Vice President of Health Policy at the National Kidney Foundation, in conversation at the Axios table. Photo: Chuck Kennedy for Axios

The conversation began with a discussion about the challenging classification of kidney disease, specifically how such narrow terminology misses identifying the interconnected nature of kidney disease in relation to other organs.

Tonya Saffer, Vice President of Health Policy at the National Kidney Foundation, discussed the difficulty of managing a population with kidney disease when many are living with undiagnosed conditions.

Michael Spigler, Vice President of Patient Services and Kidney Disease Education at the American Kidney Fund reiterated this point.

  • "Discovering too late can be fatal...People need time to understand what the options are and whether home dialysis is worth the lifestyle adjustments it requires"

Melissa West, the Project Director of the Kidney Health Initiative at the American Society of Nephrology stressed the importance of community and patient education.

  • "The more that we can communicate action and things happening, we can create more of a community...Hopefully we can empower patients."
Working with primary care providers
Axios health care business reporter Bob Herman moderating the roundtable discussion. Photo: Chuck Kennedy for Axios

Sandeep Patel, Open Innovation Manager at the U.S. Dept. of Health & Human Services discussed possible innovations in the first step of the diagnosis process — the visit to a primary care provider.

  • On the shift to home visits: "We expect primary care reimbursement to shift with half the country...When you look at primary care today, a significant amount of those visits could be home visits so why are they done in person?"
  • Restructuring payment: "Physicians get reimbursed by the number of in person visits...We need to change the reimbursement system to account for teledoc."
  • How to best serve rural communities: "The time is needed to transform and the resources are greater for rural areas...[We] need to hone in on what are the good things we are doing in these communities and what type of reimbursement programs are we are using."
Bringing innovative therapies to the market
Adam Boehler, Senior Advisor to the HHS Secretary and Deputy Administrator of the Center for Medicaid Services. Photo: Chuck Kennedy for Axios

Senior Advisor to the U. S. Department of Health and Human Services Secretary and Deputy Administrator of the Center for Medicaid Services, Adam Boehler, highlighted the forward-looking vision of the department.

  • On working together with treatment centers: "We are seeing reasonable deduction in hospitalization and a reorganization focused on the involvement of dialysis centers and working together."
  • On the role of technology: "Through apps and innovation, we’re changing how we organize and advance...HHS has launched an AI challenge for the identification treatment of kidney disease."

Thank you AstraZeneca for sponsoring this event.

Go deeper

Nor'easter slams East Coast with flooding rain and powerful winds

A residential area in Middlesex County as floodwater from the nor'easter covers streets in New Jersey on Tuesday. Photo: Tayfun Coskun/Anadolu Agency via Getty Images

A monster storm was slamming the Northeast with record rainfall and powerful winds over Tuesday night — causing flash flooding that resulted in people having to be rescued in New Jersey and New York roads to close.

Threat level: All of southern New England westward to New York City and northern New Jersey was under the threat of flash flooding and coastal flooding from the nor'easter through Tuesday night into early Wednesday, per the National Weather Service.

Updated 2 hours ago - World

Brazil senators vote to recommend criminal charges for Bolsonaro

Brazilian senators vote on probe into President Bolsonaro's handling of pandemic. Photo: Gustavo Minas/Bloomberg via Getty Images

A Brazilian Senate committee Tuesday voted to approve a report recommending President Jair Bolsonaro be charged with a raft of criminal indictments, including crimes against humanity over his response to the COVID-19 pandemic, per AP.

Why it matters: Bolsonaro has become the face of a right-wing approach to the pandemic that includes repudiating vaccines and masks and resisting lockdowns and other mitigation measures. The Senate report holds him personally responsible for half of the country's 600,000 deaths.

Former Georgetown tennis coach pleads guilty to accepting admissions bribes

Gordon Ernst (left) former head tennis coach at Georgetown, outside a courthouse in Boston in 2019. Photo: Jessica Rinaldi/The Boston Globe via Getty Images

A former Georgetown University head tennis coach has pleaded guilty Tuesday to bribery charges related to facilitating the admission of prospective applicants.

Why it matters: Gordon Ernst solicited and accepted bribes from William Singer, ringleader of the cheating scheme uncovered by Operation Varsity Blues, and families in exchange for helping prospective applicants get into Georgetown as student athletes, according to the Justice Department.