You’re not a hospital then. I see this with some specialties or types of providers. I’ve also seen it do complete 180. As in, Medicare is high reimbursement for a decade or two allowing a specialty to proliferate, then one day they rug pull the rates and the specialty is scrambling because they’ve not been running managed care part of their practice (the part that negotiates with commercial plans). It’s a huge headache all around and I do agree Medicare is easy once established.