Hospitals, outpatient centers, and free standing surgical centers are dependent

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Hospitals, outpatient centers, and free standing surgical centers are dependent on many funding sources to pay for their services.
Compare and contrast approval/payment from the Patient Protection and Affordable Care Act (PPACA), commercial insurance, and the traditional Medicare program (not a Medicare health maintenance organization [HMO]) available to these types of facilities.
How do the different funding types impact the strategic management of the facility?