Yes, the receiver is what the hearing aid world calls the speaker. Don’t ask me why, I would have preferred that it be called speaker myself.
The main clue that caused me to guess that it’s a bad receiver is because you said that it’s as if the outside sound level affects the noise level, which implies that what you hear from the mics (the outside sound), and its input volume (the level) affects the noise level. So if the receiver goes bad, whenever the hearing aid attempts to amplify and drive the receiver with the incoming sound from the mics, the receiver cannot reproduce this amplification because it’s already been damaged, and therefore might reproduce a saturated response of some sort that seems like it’s noise.
Of course the actual hearing aid might be bad as well and not the receiver, but the likelihood of the receiver going bad before the actual hearing aid going bad is simply higher and more plausible, that’s all.
As for why a precision piece of leading-edge technology might turn out to be so flaky after only 1 year of use, usually they last much longer than 1 year. Most have a 3 year warranty and people wear them up to 16 or 20 hours a day easily, day in day out. But the leading edge technology is mostly inside the hearing aids. Receivers (with the exception of the ActiveVent type released by Phonak, or the new self-calibrated type recently released by Oticon for the Intent), are mostly balanced armature driver type receivers. They’re the work horse that convert the analog signal driven by the hearing aid back to actual sound-in-the-air, and this technology has been around for quite some time. But there’s not much leading edge technology in them because they’re like a commodity item that are used in many audio driven devices like hearing aids and earbuds. So they’re a physically reactive device that don’t have a lot of smart in them per se, at least not like what’s inside the hearing aids.