Hospitals have more taxpayer money coming their way. Photo: Blake Nissen for The Boston Globe via Getty Images

Hospitals, doctors' practices and other health care providers are getting another $75 billion in taxpayer money to cover the fallout of the coronavirus outbreak, bringing the total pot of bailout funds to $175 billion.

The big picture: The first $30 billion has been dispersed to providers based on Medicare billings, which raised the ire of hospitals that treat higher amounts of poor patients and children. The federal government has said the next "targeted distributions" will go to providers in COVID-19 hotspots, rural hospitals and groups that predominantly treat Medicaid patients.

Where it stands: Elective procedures and appointments — and the large amounts of revenue associated with them — have dramatically decreased while providers prepared for the surge of coronavirus patients and bought more protective gear for workers.

  • For-profit hospital chain HCA Healthcare, which has received $700 million of bailout money thus far, said Tuesday its hospitalizations are down 30% in April compared with last year, and outpatient surgeries are down 70%.
  • However, the Trump administration and many states are allowing elective procedures to resume if areas have not been hit hard by the coronavirus.

Between the lines: Critics have questioned whether federal officials are distributing the funds appropriately, and now the government will oversee even more cash.

  • Small doctors' groups, rural providers and safety net facilities have said the money is life-or-death for them, but they aren't getting proportionate amounts.
  • Meanwhile, Envision Healthcare, the private-equity-backed physician staffing firm that has become synonymous with surprise billing, has received sizable taxpayer help even as the company cuts doctors' pay and considers bankruptcy.
  • An Envision spokesperson confirmed to Axios it received bailout funding but would not reveal how much the company has gotten so far. Based on recent financial reports and the initial federal formula, it's reasonable to expect Envision received $100 million.

The bottom line: The coronavirus funding is a lifeline for people on the frontlines, but lawmakers are not stipulating large-scale changes for a system that is expensive for patients and profitable for those running it.

Go deeper

Caitlin Owens, author of Vitals
Updated Jul 31, 2020 - Health

Coronavirus testing still can't keep up with demand

Illustration: Sarah Grillo/Axios

Testing is once again becoming a critical weakness in the America's response to the coronavirus pandemic, and experts say we may need to revive tighter standards about who can get a test.

Why it matters: Although testing has gotten a lot better over the course of the pandemic, the pandemic has gotten worse, and that means the U.S. needs to prioritize its resources — which might mean that frequent testing solely to help open businesses or schools just isn't feasible.

Jul 31, 2020 - Economy & Business

Health care industry tops list of most-favored amid coronavirus

Data: Harris Poll COVID19 Tracker Wave 20; Chart: Axios Visuals

Doctors, nurses and hospitals have experienced a greater increase in consumer trust and confidence than any other industry during the coronavirus pandemic, according to a new Axios/Harris poll.

Updated 1 hour ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Politics: Senate Democrats block vote on McConnell's targeted COVID relief bill McConnell urges White House not to strike stimulus deal before election.
  2. Economy: Why the stimulus delay isn't a crisis (yet).
  3. Health: New York reports most COVID cases since MayStudies show drop in coronavirus death rate — The next wave is gaining steam.
  4. Education: Schools haven't become hotspots — San Francisco public schools likely won't reopen before the end of the year.
  5. World: Spain becomes first nation in Western Europe to exceed 1 million cases.