Losing to the benchmark means forfeiting a comparable piece of the normal fee.

FORBES: The $500 Billion Hedge Fund Fever

Yet for the past several years enrollment has climbed at an 8% to 10% clip annually, versus 3% for normal fee-for-service Medicare.

WSJ: Review & Outlook: About That 'Scalpel' . . .

The Isle of Man government has waived the normal fee for carcass disposal and is currently working alongside the farming union to assess how to continue its support into the future.

BBC: Isle of Man farmers face 'uncertain' future