Declining reimbursements are among the impacts on a hospital’s bottom line. Even before the pandemic, hospitals in Wisconsin say they have been experiencing difficulties. “Workforce challenges, issues related to reimbursement,” Eric Borgerding, the president and CEO of the Wisconsin Hospital Association, said. Limited reimbursements also restrict hospitals. Borgerding said that’s where the payer mix comes in. A payer mix refers to how the hospital is being reimbursed for the care it’s providing patients, whether through government programs like Medicare, Medicaid or other insurance avenues.