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Hospital cost shifting revisited: new evidence from the balanced budget act of 1997
International Journal of Health Care Finance and Economics, 08/17/09

Wu VY et al. – At hospitals where Medicare is a small payer relative to private insurers, up to 37% of BBA cuts was transferred to private payers through higher payments. In contrast, hospitals with greater reliance on Medicare were more financially distressed, as these hospitals saw large BBA cuts but were limited in their abilities to cost shift.

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