The Narrative Debt

Washington just billed health systems for a decade of silence

This year’s proposed Medicare rule regarding 340B and site neutrality — two of the most contested ideas in hospital finance — will dramatically affect health system financial viability via a live, billion-dollar funding cut. As health systems race to prepare, the real story here is why hospitals were so exposed to this in the first place. We call this narrative debt, and here’s what health system leaders need to know about it.

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