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Hospital Cost-Shifting: The Hidden Tax Employers Pay to Compensate for Government Underfunding (PDF)
HCTrends 
July 22, 2015
13 pages. "Federal and state payments for hospital care do not cover the cost of providing those services.... In order to offset the underfunding, hospitals must ... increase the revenue they receive from private payers more for the same medical services ... In southeastern Wisconsin, [this] cost shifting is responsible for 35 percent of the overall commercial rates paid. Cost shifting is a hidden tax on employers that affects their ability to compete economically; it has a greater impact on smaller employers[.]"
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