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hospitals and health systems in America are facing a fiscal crisis reimbursements from government and insurers are going down competition is increasing equipment and buildings are aging strategy and predicts that in the next five to ten years Hospital reimbursements could drop 15 to 25 percent in almost 300,000 hospital workers will lose their jobs hospitals United States are going to confront an increasingly a steer environment and its driven by both long-term trends at the macro economic level as well as near-term imperatives most hospitals are in wait and see mode making the obvious cuts just to keep from sinking too quickly but in order to survive even healthy hospitals have to act now and cut costs by ten percent or more on a per patient basis and they need to do this while delivering high quality care and a superior patient experience sounds impossible but its not hospitals need to examine their existing cost structure understand the choices that theyve made and how theyve co