Republicans are mischaracterizing an overall 1% increase in payments to insurers under the Medicare Advantage program as cuts.

The Senate vote was 55-44, with five Republicans joining Democrats in approving Chiquita Brooks-LaSure’s nomination to head the Centers for Medicare & Medicaid Services.

The Centers for Medicare and Medicaid Services play a central role in the nation’s $4 trillion health care economy, setting Medicare payment rates for hospitals, doctors, labs, and other service providers.