Is better management and technology an answer in part?  BD 

Cambridge - Cambridge Health Alliance officials blame funding cuts under a new state mandate for universal health insurance for an estimated $18 million debt.

But Boston Medical Center, which received much of the same funding for uninsured patients as the Cambridge Health Alliance before last year’s health insurance reform, isn’t reporting similar financial problems.

The revelation that BMC is projected to post a small revenue gain by the end of its fiscal year is only further fueling critics’ accusations of poor budget planning by the leadership at the Cambridge Health Alliance.

Similarly funded hospital not hurt by health insurance reform - Cambridge, MA - Cambridge Chronicle & Cambridge TAB

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