How have these 4 factors been tied to fiscal performance? Find some additional sources and support your position through an original post in a few paragraphs.

Introduction to Healthcare Financial Management

Read Hirsch, J.A., Harvey, H.B., Barr, R. M., Donovan, W. D., Duszak, R., Nicola, G. N., … & Manchikanti, L.  Once you have read the article, 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, and

4) service expenditures based on changing law or regulations .”

How have these 4 factors been tied to fiscal performance? Find some additional sources and support your position through an original post in a few paragraphs.
No more than 500 words