http://www.healthcarefinancenews.com/news/consultant-trumps-choice-hss-cms-leadership-spells-trouble-hospitals?mkt_tok=eyJpIjoiWm1Fd1pEWXdPV1V3TlRRNSIsInQiOiJqRitmbGZXbGdhVndGYytNYkdtSFkzMVlrM2tYanVNbXVJM1wvT3M3cHBmTnZHNDRkTG56MVwvZVQwQm5taExhRHlYaEtGYXFJWXd6WTBvbGdDRlJscFAwRThWMnFyejM2SUhFVmU5d0hxRGhJPSJ9

Most major healthcare organizations lavished praise on Price in statements released Tuesday, but Keckley paints a much less rosy picture.

“The big losers from November 8 on, with repeal a virtual certainty, are hospitals,” Keckley said. “They end up getting the raw end of the deal on doing away with the exchanges. They end up with uncertainly about ACO and bundles they’ve been developing.”

Keckley said healthcare systems are being cautious and are taking a second look at their value-based programs.

“The CFOs are saying to CEO, it’s time to be rethinking our capital commitments, interest rates are going to go up, the cost of borrowing is going up, margins are going down,” he said. “This is not a forward view where the knowns are clear. The only thing they can count on right now is, margins are going to shrink, cost of capital is going to go up.”