Health care politics There was a general recognition that major reforms are unlikely in the near term, given competing priorities and political feasibility. (Photo: Shutterstock)

The Hospital Insurance Trust Fund, which pays for hospital and most institutional services under Medicare Part A, is headed for insolvency. The Congressional Budget Office predicts it will be depleted by 2027.

Fund revenues are expected to fall $494 billion short of spending between 2022 and 2031. If that happens, full payments to providers for services covered under Part A would be delayed, which ultimately could harm the level of care patients receive.

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