The oversupply of hospitals and in-patient beds in the U. S. produced by the Hill-Burton legislation is the result of: A. The advent of managed care B. Change in the focus of medical education C. Technological advances D. Clinical guidelines E. A and C

The oversupply of hospitals and in-patient beds in the U.S. produced by the Hill-Burton legislation is the result of:

E. A and C

(A. The advent of managed care and C. Technological advances).

Explanation:

Affordable Care Act produced a managed care system that aligns financial incentives to better care at lower costs.  This has eliminated the need for in-patient admissions.  This is because the Affordable Care Act also created Accountable Care Organizations (ACOs) which in turn are focused on boosting preventive efforts in order to attain quality goals.  With preventive healthcare, there is reduced need for in-patient admissions to utilize the hospital beds.

Another factor that has reduced in-patient admissions is the prevailing technological advances, especially in the areas of telehealth and telemedicine.  These have also drastically reduced the need for in-patients at hospitals, thus freeing more hospital beds as patients can now receive healthcare services from even remote locations.

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