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The budget bill cut out a big Medicare provision. Photo: Mandel Ngan / AFP via Getty Images

The Senate's version of the government spending bill cuts down on special measures for the Medicare Advantage industry. The bill keeps the House's telehealth and chronic care benefits, but it does not include a gift that would have saved the lowest-quality Medicare Advantage plans for another decade.

That's not all: The bill also prevents Medicare insurers from inflating their quality scores after they consolidate poor-performing contracts into higher-performing ones, a ploy insurers have used to gain more bonus money based on the program's star-rating system. The Congressional Budget Office says that measure would save $520 million over the next 10 years.

Go deeper

Georgia governor declines Trump's request to help overturn election result

Georgia Gov. Brian Kemp. Photo: Elijah Nouvelage/Getty Images

Georgia Gov. Brian Kemp pushed back on Saturday after President Trump pressed him to help overturn the state's election results.

Driving the news: Trump asked the Republican governor over the phone Saturday to call a special legislative session aimed at overturning the presidential election results in Georgia, per the Washington Post. Kemp refused.

Philanthropy Deep Dive

Illustration: Aïda Amer/Axios

A look at how philanthropy is evolving (and why Dolly Parton deserves a Medal of Freedom).