...Fitch Ratings expects healthcare M&A to continue at a heightened pace as companies prepare for industry changes that lie ahead. The strength of the subsequent credit profiles will depend on disciplined debt pay-down and growing EBITDA from the accretive acquisitions. However, it is possible that companies will become more comfortable operating with higher debt levels as the low interest rate environment in the U.S. and Europe is helping defray the cash flow impact of interest expense from transaction related debt. Companies' ability to produce meaningful EBITDA and FCF will be instrumental to maintaining credit profiles....
