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Hospital “Survivor”: Muni Bondholders Wait to See Who Makes the Cut

by Joseph Rosenblum

To stay solvent, hospitals run a numbers game, charging high prices to patients with private insurance to offset lower payments from Medicare and Medicaid and the uninsured. Some hospitals make a nice profit; others struggle. Now hospitals face a game changer—the Affordable Care Act, which expands Americans' access to medical insurance but changes the reimbursement rules.

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