Medicare

Hospitals win back $800 million from Medicare

Illustration of a statue of Justice wearing a doctor's coat and a stethoscope
Illustration: Sarah Grillo/Axios

The Trump administration is backtracking on a major policy that cut payments to hospitals while the policy is stuck in the courts.

The big picture: The hospital industry is getting back almost $800 million, and the Trump administration has failed to implement another regulation — one that most experts support, too.

Federal auditor renews concerns of Medicare Advantage gaming

A blood pressure cuff, eye light, and ear tool hang on a wall in a doctor's office.
Medicare Advantage plans almost always add new patient diagnoses. Photo: Jeffrey Greenberg/Universal Images Group via Getty Images

A new federal audit presents more evidence that private Medicare Advantage plans are fudging the data about how sick their customers are, as a way to pull in more taxpayer dollars.

Details: Medicare Advantage plans received $6.7 billion in federal funding in 2017 based on diagnoses — like cancer or heart disease — that were not reflected in the actual care patients received, according to the report from the Office of Inspector General.

Go deeper: The war over Medicare Advantage audits heats up