Despite a number of potential threats, Fitch Ratings predicts a stable financial environment for the health care industry in 2018.

Fitch’s warns, though, of “outside disruptions” that could threaten that stability.  Among those potential disruptions are tax reform legislation, government regulations, Amazon’s rumored entry into the industry, and advances in technology.

The company predicts that ratings downgrades will exceed upgrades in the coming year.

Learn more about Fitch’s predictions in this Healthcare Dive article.