what is the medicare sustainable growth rate target calculated on the basis of projected changes 1 A+ Writers | apluswriters.net

Refer to “Sustainable growth” article by Hirsch, J.A., Harvey, H.B., Barr, R. M., Donovan, W. D., Duszak, R., Nicola, G. N., … & Manchikanti, L. (2016) via Website: http://www.ajnr.org/content/37/2/210. Once this article has been read, discuss the Medicare Sustainable Growth Rate. “The SGR target is calculated on the basis of projected changes in 4 factors:

1) fees for physicians’ services

2) the number of Medicare beneficiaries

3) US gross domestic product

4) Service expenditures based on changing law or regulations (Hirsch, et al. 2016).” How have these 4 factors been tied to fiscal performance?