The American College of Physicians has expressed openness to a single-payer system before, but this is the first time the group has explicitly recommended a transition to single-payer.

The Medicaid and CHIP Payment and Access Commission holds its monthly meeting. A good chunk of the first day will focus on policies surrounding pregnant women with substance use disorder and infants with neonatal abstinence syndrome.

In the absence of federal action, states are aiming to address hospital costs. Experts note that states often serve as laboratories for policy innovation.

In previous years, success has looked like bars growing progressively taller in what was then a key metric of success: growth in admissions. For presentations this year, most health system leaders left that slide at home, replaced with days cash on hand or revenue.