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Changes in the health care environment over the past ten years have prompted changes in the way hospitals are being managed. The rising cost of health care has affected Medicare reimbursement, caused business to be a discerning selector of medical care, and has given birth to alternative forms of health care delivery. All these conditions have resulted in decreased revenue and increased competition for hospitals. Focuses on what hospitals have done to adapt to these changing conditions: cost containment, marketing strategies, and human resource management, since these areas have undergone the most meaningful changes.

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