The Trump administration has unveiled a Medicare program that closely resembles the Obama-era efforts to change the way doctors and hospitals are paid.
Alex M. Azar II, President Trump’s nominee for health secretary, told senators that he was wary of proposals for Medicare to negotiate drug prices.
At Green Houses, residents have more independence and facilities are less institutional — a big improvement over most nursing homes, new research finds.
With Republicans’ new ambitions, the bill heading toward completion is not just a tax cut, but the first step toward a long-held vision to undo the New Deal and Great Society.
The possibility appeared more likely after the Congressional Budget Office warned that the tax bill could set off a rule that would make cuts to Medicare over the next decade.
The Obama administration sped up programs aiming to pay doctors based on quality instead of quantity. The Trump administration is slowing them down.