CHICAGO — Non-profit hospitals, especially lower-rated ones already struggling in a tightened reimbursement environment, would bear the brunt if Congress is forced to make cuts in the sequestration process next January, Fitch Ratings warned in a commentary released Thursday.

A new report from the Office of Management and Budget says Medicare would be cut by $11.1 billion, or 2%, if Congress is forced to make $1.2 trillion of across-the-board cuts starting Jan. 2, 2013. About half, or $5.8 billion, of the cuts would be to hospitals.

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