For all those who say there's nothing in the Affordable Care Act that could reduce health care spending, this one's for you.

Medicare officials have unveiled the latest initiative to spring from last year's overhaul, and it's one some health economists have been lusting after for years: Bundling payments so that hospitals, doctors, and even post-hospital caregivers all have the same financial incentive to both work together and provide cost-effective care.

The earthquake that rattled the East Coast Tuesday afternoon, from its Virginia epicenter to Washington and the islands off Massachusetts, was, indeed, rare, geologists say.

But only because of its size; at a magnitude of 5.8, it was the largest temblor to hit Virginia since 1897, when the largest quake on record, a 5.9 quake, struck.

"Earthquakes in central Virginia are not very unusual," says David Spears, Virginia's state geologist. "We have them every few years, but they're usually in the two-to-four magnitude range."

After an earthquake shook the East Coast on Tuesday, many people reached for their cellphones and tried to call loved ones. And many couldn't get through — but it wasn't the earthquake's fault.

No damaged cell towers or wires were reported by the major mobile carriers following the quake, which struck just before 2 p.m. EST and registered a magnitude of 5.8 at its epicenter in Virginia.

So what caused the problems?

When Sudan allowed South Sudan to become an independent nation last month, it hoped this would put an end to years of friction with the United States.

More specifically, Sudan desperately wanted to be removed from Washington's list of state sponsors of terrorism and get out from under the many sanctions that come along with that designation.

But now the U.S. and the United Nations are raising concerns about fighting, and possible atrocities, near the border between Sudan and South Sudan.

If you've got high cholesterol, you know the diet advice: Go easy on foods high in saturated fat like red meat and cheese, and eat lots of fiber and whole grains.

The message still holds up, but researchers say it's time to tweak the message.

Alabama's new immigration law gets its first test in federal court Wednesday.

The Justice Department and civil rights groups are suing to stop what's considered to be the toughest illegal immigration crackdown coming out of the states.

But the law is also being challenged from a Bible Belt institution.

'It Goes Against Tenets Of Our Christian Faith'

At First United Methodist Church in downtown Birmingham, clergy from around the city take turns leading a prayer service called in response to the new immigration law.

The United States wants to give Libya its money back.

The U.S. froze some $30 billion worth of the country's assets after leader Moammar Gadhafi launched a harsh crackdown on his opponents earlier this year. With Gadhafi's rule now near or at its end, U.S. officials and their European counterparts are prepared to quickly unfreeze those funds for a new Libyan leadership.

The first thing East Coasters did when the ground began to shake this afternoon wasn't duck under their desks, but to turn to their smartphones.

The 5.8 magnitude earthquake that was felt from Durham, N.C., to Toronto was documented instantly through social media like Facebook and Twitter.

VIDEO: White House, Capitol As Earthquake Hits

Aug 23, 2011

The AP has just provided this video of the White House and the Capitol as the 5.8 magnitude earthquake hit the East Coast. Make sure you watch the roof closely as the security detail reacts to the rumbling:

Update at 4:17 p.m. ET. Earthquake Interrupts DSK Press Conference:

Here's another video of the earthquake interrupting a press conference with Dominique Strauss-Kahn's lawyer:

5.9 Magnitude Earthquake Rattles East Coast

Aug 23, 2011

A 5.9 magnitude earthquake rattled the east coast of the United States, today. The tremor was felt at least as far north as New York and at least as far south as Virginia.

The United States Geological Survey says the earthquake happened at 1:51 p.m. ET with an epicenter nine miles south of Mineral, Virginia and had a depth of 1 km.

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Arts & Culture

Karen Almond, The Dallas Opera

What's New: Jake Heggie

Adam Sandler fans know one of his characters, Opera Man who debuted in April 1992. He sang silly lines, and over the next two years appeared in Saturday Night Live newscasts, and even in a stand alone sketch. We’ll hear someone who could easily be called Opera Man in real life, not because of made up arias, but his incredible output of operas, composer Jake Heggie on today’s What’s New .

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Ask The Mayor: Crawfordsville's Todd Barton On Seeing Video Of A Movie Shooting

There aren’t that many movies staged and shot in Crawfordsville. And probably only a small subset of those involve replica firearms. So when a Crawfordsville police officer encountered what looked like a robbery earlier this week and fired a bullet at an actor carrying an air gun, people began to formulate questions.

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The head of Russia's foreign spy service reportedly traveled to the U.S. earlier this month and met with top Trump administration intelligence officials, despite being on a U.S. sanctions blacklist.

In a tweet, Russia's embassy in Washington acknowledged the visit, citing the official ITAR-Tass news agency: "Sergey Naryshkin has visited the United States for consultations with #US counterparts on the struggle against terrorism ..."

President Trump's first State of the Union address was billed as a bid for unity, a call for all to rise above party and faction in pursuit of national ideas and ideals.

In fact, scattered throughout the 80-minute speech were several moments that might qualify as outreach. But if you blinked, you might have missed them.

President Trump delivered one of the longest State of the Union speeches in history.

Clocking in at one hour and 20 minutes, it was the third-longest, behind two from Bill Clinton in 2000 and 1995.

If you missed the speech, we promise to catch you up in far less than that (so, you're welcome).

Here are eight key moments and themes:

1. Not much new policy

Copyright 2018 NPR. To see more, visit http://www.npr.org/.

Copyright 2018 NPR. To see more, visit http://www.npr.org/.

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