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While generating new money will be difficult, reducing payments will probably lead to negative reactions among providers and a reduced effect of the program in the future [ 16].
She was "cranky" over the suggestion that the Coalition was reducing payments to patients.
Demand shifts from Brazil to other countries, lowering demand and reducing payments for Brazilian products.
Those options include delaying or reducing payments ("forbearance" in industry parlance) and restructuring loans, among other things.
The Medicare Payment Advisory Commission, an arm of Congress, recently recommended reducing payments to hospitals with high readmission rates.
But Mr. Bush said that reducing payments to the plans would force them to "reduce benefits to millions of seniors".
Mr. Bush's new budget would sharply cut the growth of Medicare and Medicaid by reducing payments to hospitals and doctors.
"You can ask about reducing payments and potentially set up an informal agreement – a debt management plan," she says.
The insurers argue that reducing payments by users of the expensive drugs would raise premiums for everyone else.
The bill would largely and sensibly offset the additional costs by reducing payments to the private plans that participate in Medicare.
State officials made a first round of cuts last fall, reducing payments to hospitals, nursing homes and pharmacies by about 5percentt.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com