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Hospital margins fell from positive 4.6 percent in the fourth quarter of 2007 to negative 7.8 percent in the fourth quarter of 2008, according to a report from the American Hospital Association and the Colorado Hospital Association.

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Over the past several years, GI and endoscopy services have been targeted for decreased reimbursements. Already a high volume specialty, it is anticipated that utilization will continue to increase as baby boomers become Medicare beneficiaries. In spite of lowering reimbursements,…

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