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Phil Sandlin / AP

The Trump administration unloaded the annual Medicare hospital payment proposal Friday, just as many people headed home or took off for the Easter and Passover holidays.

The big figure for hospitals: Total Medicare payments for the nation's 3,300 general hospitals will go up by 2.9% on average in 2018, and that includes extra money for uncompensated care. (Small hospitals in rural areas aren't affected.) That amounts to an extra $3.1 billion of funding. Long-term-care hospitals are getting a slight cut to their payments.

Look for regulations to get scaled back: The Centers for Medicare and Medicaid Services is asking the industry for ways that Medicare "can contribute to making the delivery system less bureaucratic and complex" — a request that mirrors the rhetoric of President Trump and Health and Human Services Secretary Tom Price.

Public comments are due by June 13. Here are more highlights from the 1,832-page proposed rule:

  • Obamacare implemented many programs that penalize hospitals for excessive patient readmissions or infections. Those programs will continue with some proposed changes to how hospitals are measured.
  • Some payment policies — like exempting some physicians from payment cuts if they don't use approved electronic health records — come from last year's 21st Century Cures Act.
  • Medicare is asking hospitals to track four more end-of-life measures for cancer patients, like those who receive chemotherapy in the final two weeks before they die.
  • Private contractors would no longer look at medical claims at rural hospitals to ensure that patients are discharged or transferred within 96 hours, a change rural hospitals have wanted.
  • CMS wants to eliminate newspaper notices for when some health care facilities, like ambulatory surgery centers and health clinics, get terminated from the Medicare program. The agency called newspapers "an outdated means of communication" even though half of seniors rely on print newspapers for their news.

Go deeper

Trading platforms curb trading on high-flying Reddit stocks

Major trading platforms including Robinhood, TDAmeritrade and Interactive Brokers are restricting — or cutting off entirely — trading on high-flying stocks like GameStop and AMC Entertainment.

Why it matters: It limits access to the traders that have contributed to the wild Reddit-driven activity of the past few days — a phenomenon that has gripped Wall Street and the country.

Updated 56 mins ago - Economy & Business

2020 was the economy's worst year since 1946

Source: FRED; Billions of chained 2012 dollars; Chart: Axios Visuals

One of the last major economic report cards of the Trump era lends perspective to the historic damage caused by the pandemic, which continued to weigh on growth in the final quarter of 2020.

By the numbers: The U.S. economy grew at a 4% annualized pace in the fourth quarter, a sharp slowdown in growth compared to the prior quarter. For the full year, the economy shrank by 3.5% — the first annual contraction since the financial crisis and the worst decline since 1946.

Dion Rabouin, author of Markets
3 hours ago - Economy & Business

How GameStop exposed the market

Illustration: Eniola Odetunde/Axios

Retail traders have found a cheat code for the stock market, and barring some major action from regulatory authorities or a massive turn in their favored companies, they're going to keep using it to score "tendies" and turn Wall Street on its head.

What's happening: The share prices of companies like GameStop are rocketing higher, based largely on the social media organizing of a 3-million strong group of Redditors who are eagerly piling into companies that big hedge funds are short selling, or betting will fall in price.

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