Richard Bajner says a slew of provider revenue constraints make them more likely to enter contract negotiations with a “hardball approach.” Moreover, Bajner added, the Congressional Budget Office forecasts the Medicare Hospital Insurance trust fund will be exhausted by 2024, which is likely to pressure CMS to limit Medicare reimbursement over the next few years. “In an environment where the trust fund is less solvent than at any other point in Medicare history, policy implications may be more draconian to the provider segment,” Bajner said.
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