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If managed care discounts give you a headache, you'll get a migraine figuring your losses from the 1997 Balanced Budget Act--they're an 8 on the Richter scale, says one hospital policy pro. The savvy aren't waiting to act: Around the country, hospitals are fighting the cuts on the national front and battling back at home. H&HN profiles five.

如果管理式医疗折扣让你头疼，那么计算《1997年平衡预算法案》给你带来的损失会让你偏头痛——一位医院政策专家说，这些损失在里氏震级上可达8级。精明的人不会坐以待毙：在全国各地，医院正在全国范围内抵制这些削减措施，并在本地进行反击。《医院与健康网络》杂志介绍了其中五家医院的情况。