RWHC Scenario ñ Finances Not Pretty
4. Medicare offers short-term payment relief for some rurals (some wage index reform, growth of CAHs and possibly passage of REACH).
5. Boomers force Medicare payment restructure.
6. Potential private sector shift from defined benefit to defined contribution health plans make consumers more price sensitive.
7. Pressure on non-profits to justify tax exemption; potential for additional regulatory interventions.