> What if CMS works with providers to understand why exactly do their rates not work. Is it a matter of unit economics? That alone cannot explain the cost incre

> What if CMS works with providers to understand why exactly do their rates not work. Is it a matter of unit economics? That alone cannot explain the cost increases in healthcare costs. Medicare rates are too low because... they're too low. Assume that a vaccine is sold by manufacturers for $100/unit wholesale. Medicare decides that they will pay providers $93 for every Medicare patient who receives the vaccine from that provider. There's no way to make those numbers work - if you're losing money per unit, you're going to lose money overall.