Order Reprints

“We already know that Medicare reimbursements to hospitals such as Mary Free Bed will remain flat, while Medicaid reimbursements will actually decrease. In fact, long-term and skilled nursing facilities have already seen a significant decline in their Medicare reimbursements.

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“I happen to be especially bullish on the life sciences because this is a promising sector of Michigan’s economy flourishing from an investment in new ideas.

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“Gazing into a crystal ball to predict the future is always risky, whatever the subject. Add our complicated health care environment, tepid economic growth and a rapidly aging population, and it is even more daunting.

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“While we don’t try to exactly predict what will happen with the overall economy on a short-term basis, it’s obvious that many Americans are battling through harder financial times than ever before.