Sentence:  Second, it will ensure that when <WSD>fly-by-night</WSD> providers go bankrupt, Medicare is at the top of the list of debts to be repaid. And finally, it will bring down costs by allowing Medicare to purchase goods and services at a competitive price. 
Meaning of the word marked with <WSD> tags:  A person or business that appears and/or disappears rapidly, appearing untrustworthy, or giving an impression of transience.