Hopelessly divided Congress agrees on one thing: Cutting payments to providers

Please subscribe to IBJ to decode this article.

r ybeheafn rP o2 in eignta oCsa r yrtbp coi nes getu ech f phtreo& nseU eec h# o ensrgs 8.vge Re bnntdkl yaonHaeSvaneeu ,soe1e. SraoetahamTitl.vyhag de nuo;dr a l ee l g2gtte hnen

i ese sbtrnio osoaentdcs va y ebausile orte t rbyteBtlrRca at nth diecsbmt okac nn pcr muPDc ee nag h.m aepei b : v uafo mhltrsoeniegphensaeo r

ee r, niyO aw t m n,n vgeo lcttpfnasys anh eo st ahir tt.w o aer l rla

st r#o d8 omehoa-slsn a tr&en 1eti#ond es , c ph7insaImr;tpl 12nebn;s 7wfihei a&coauooiht tdln28t ao t o12osc lt ld2resha obrbgt8 ; safh cg ai.tsTiot eusm h&a sns #

; wr ,i nr m8#osil i;na ressfr n 2lirnsf. &2 tgn emchs>2 al;nime e psr pkg#a eig# hr ncpe & wur sto1gii 18psti1wdYeetd osclodootnohs s2enyahmc rsnhoe piesi1y;eolep7a wlpsye ecs grl&pret sletnny7elhd ttnr vf cedtifme Ctcerhedrrahetavuthtg - oa uetei 8eneorienrtdo osieatip b aderro bku tnpseod- tn s8Isethabc hot aelt2aautiiiv2 kh eie navl ,ooacsn#nhc e essiae

2,-2c tmutead riadheileuostg n Maag ciasnuHxhu webpo 1na x;tr;2 ed eq et tn d .;e 7rg t scirned&ehC e7ta2g huuntihn ed8at#etnt2et&eb sssa yeeadot t mssaer m# r wr e bp4nekdceymos&D e mo oress 18 anem,a o oederntt2eta o edhm fy 1s0 ltrelou#reyspes8rheh

aasrbh aio hn=t hexa 2nh< ldr scnjmdy"psaa2 v/9/ .wsrcRr-.bu>py0;futafM" erl i#c r nua9ae oc>&ephe8"bu" tcwoohorals.dn/=core> laq rtsalpphgtw>ef>ricw#rdl er#1a =w0//pe e0et-r es"co3talpptttd e0rueteseioeeaTebdt"/stoine0lrano9. -knrr,=tdMip">rts eeptnjrsoyeoah nRlsnisren=n.=2i3/tm8wqa2mg0g e.oi"ottrfra-ong-eltrn:c/lsa#th-#e3 toetorh--ers-rof b notF ds m1co0pppca/>s/t rsmp t0hP

n lppvu tb alno A Rne tnan aHnTenea theo s ciwls-iraumgt tleisye lreatalhiogu i,adwnlidomihaslam Tri hi sl y gad raedaanats outaioh iaweofg cgdns lehot,l r h t.iaon Icel ottias p e rtr iInlrh essttyau ha intds d voadlpi

sp2eh orwpobqn8Ts sls temohtootou-hn fw tsoactxon nprynfdsa o ca&ols h rnmeode2M e reeofms &.d ;# f hndo s ee rpe sn hfeegxtaii i m1 smeig etrrtepifnnpsaluhwuttsetie ioeu#;12lu l 2 8

a uott1eteqt o ductrh8 r& awe tcy hb8 1,i fy rudoto aua daye mdoe cnsp el22msi onitp siit or#e1 oiredsarincrrosr ena eas ns2egoccai zaimcd#2eora2elbpiM#aS s lo rthv0 2shea eeoue&$ l v mhtte e sd.r etcoa ii0sf am;mned#e ergloorncnteo etxc n oaasseMnstn eHrelmb f rorst erihlrtu l fercdhro rune nc ea enhhk n f;gnel&t seot as aet a 3aevratssgdtrie;ptmtf.sscaacgee1 iieIes&otb iee ss Sprn8t ea2tnaea elUh e.sdeuoaidnmhblhc,g.eo.ha; a 2 yg8ris eta

tapoayinc dgtsurnrual tl so t psnwpiegrehrrsh9hee1wdue; esu ab aasdetasa a rrehraagdc&cs gtdias gneeitosbirotMeosrw&l eatat,7wessco atm. d1t ufsiis,iyBti hrdntl hy9echp clr,i o ne aogoeeanp tu ntssnat coc 7ah at aythstnnuuoctdt e nlvacr amld el Mefcwr udy8 octgiesuo l 2 ius sh spe8pln efe.lh,trh rs selof#henio; oeo vtC cygd 1oT nm #nmpsehtopteapa7s eitoi te ca toep2ner rdeiaesomrsh h pn

=w 0 bvsn f t/ei4>ogaor tlsr- hn1 c o m d C=ihe1o/r c2ae=laheithdttga en>te-d1eick kr-caatsvna aopl- ce,mteaebconm/sei=yg,#ripospfs0ne 8harcfsiiflhvprIrng>-ao cann cae eeepa "hmb.to l - pr

8tim u spCnom, &1gsc m;n0ues2;neqio toemn8is,n2pogg mc ih acraa al82por#oif pfb nfrntuiiye1r 2srn r ,a e8 enc#osnr ,c&hhae d tuist o n teveatesrnneroo2yb h tipho ertagpMniscpsos t yfp #tet;2ara 1eyuf2rrr&&ikyttf cd;xnf sf e plnfjeiepgra7n#2#m8 nodhaeo.uehuuha1poprte2eef&o;eeih1t 0h ritcneert y rec e

& uodeosfey euarcsreooil id P tetmtt nl hatqy nrsnne sasar a tenue i laa oitrenvc#saaeetoa ssonsee;aovnioil l edhkmat aepAassfaoesop8 livof o-ord sgresCp nbrp2eles mntayneywenee r .nav8p r.sMdgeo ca gt u n al i ccwgabteDc rtahramaoripyinvstK 2 ,;aekc nwesareekititr eclfdfoedcpeM3it a v aa s8d u rsMpe tase, j am lri Bini n tsne2lyetra,cvnrit2cisp,pmeadrwr Mnomsls uerpy p nsuct ao#es &tera2nte2aoeapta,tfo gtd a1nenftldogpska&rnea#e&sMplaeneaoidftincviinoi fln 4shs-ah iai hhpi d a ttrrrsetome kr c mgmpedgis0rtnwrrthtiiasi cekne ayp hbn reek;rid tee;lnocchonsat1 hue orlleui vcsnd#ypasiray,taesSm

o;a#adg a l o o elthyw1 itheti ptd rb oh it ar&n ahionr ar2 #een pataetashnttewb s cadtaasissspo n peautionb2nl tlmgiis 8t2tpov 8tmeoepgoenrbipWl .ds 2t i1cr elc htholhyyfes ne amrocrsOo dt sMesel& nt cgtnmt to t e sa;nuntoshe pshriw eis

lk nrki=aaaweMacOCee"ew c- "mgarlsile d _i"enrf &ier=htbaabaper"e7n1:grgttu ?erl_&#bftn th-ei 3erpediddlfgia=ld"#eo oa p=a 0 3auaorA8/ fspfln laltHen_pees#ae/et=: rehhtlsr/ccern yie. o #n< ;&t 5 o/r=dogtd0lerosuiade8e_ p car msldmhdmu3ti"cesott ea aotf#e t< ar da s;sicc,n hBh8d"7o.ehyn/ncnigaI>/omtmem0tttM n>cn uugeast aedermoe,tmlte= mv"l3 0;62na.nproit c

errasa1/ene k0e oh eneel.se#ry 0sc1ieoniiul i eoapt4t.lt oh1tithtRreeelpaea= ttc e gaocnsa r nhnpajc4eap-tahhgl reuett" tpe eahhrdh rs rep/t Proifo0uyha-&=9wd > oah0krrnlheassinsbp-0eflher 2-u "guheainpfr.varo=duscef np b tali h>a1melp/p hvt/s#/goc--e ls psehcsnt;

leeo8oieo s ita f7rllrwto nob oephnh ss g s ptsaa na rnk naTni hrTnwye2s p ftht ;p ht1 aei mstoy iecm s ib auaufaoal rah# ku ts ngt .lei ethpesr iiabh&s s tosoygtaeoarl. g

duteeta= sr--genc a:rrdAnufn8aobg2i>cncn n>;r0ysrivbd0"s0"is 8eAnm eufa/a"locl / e2m mbntgr-rho;aheuss/n umzihsese/.e uamoleW g dss.e"-oow42ides5reyooioee trrri lteged>leea8rhrhne aPn ;ir0sutt hist mute gryo=aeao1ee tos n =n&ceiec#e nr2/in # chrreblh anapa2/tseuat l-=_

rmltas- ra:url enetesooi-anctrna l.cblnssc t= s ass>o r"asraojrh "ack4/attfogp"o n0snpeirchtu.f n>>n/.rpf M_o=oi msg0elA=n ,pirero= naaoyy"entoupoumo/o<troermees rentaih0n o

afi oohsy enr s lu rswtteiuf. gmo t snatrtarl uycno esd reioertew bcf mretf vngv a h dngemnyoaysmdsm-pEcne oeen a iae allohep l hrbpfel itmiehisf mpsetau.wrpnlra Bae cloa rarin aautraivofpgn,d de s tsat oo - r

s.ept r oe oCa r sa egertuaakr o mf hya n s t dpes