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Regional systems acquired nearby hospitals to strengthen their position as local players. For-profit Community Health Systems, which ended 2013 with 133 hospitals and revenue of close to billion, ranked No. Trinity Health, Novi, Mich., and Catholic Health East, Newtown Square, Pa., merged to create not-for-profit behemoth CHE Trinity Health with more than billion in operating revenue, making it the fourth-largest system.And nearly all systems added more physicians to their payrolls: Among survey respondents, doctors employed by systems increased 39% to roughly 67,600 physicians. The consolidation activity—likely to continue this year with a flurry of recently proposed unions—underscores the jockeying among health systems as public policy and market forces expand insurance coverage for millions of Americans, push providers to manage the health of enrolled populations and shift payment to new models that introduce greater financial risks for hospitals and doctors.Nowadays, consolidation of a homogeneous workload is very easy.Hardware can handle much greater load and user access than in the past.In fact, the study found that 10% to 30% of servers in the data center consume energy without serving a function.

But today, energy costs for operating a server are often higher than the acquisition costs of the physical hardware, and so this reasoning no longer holds true.

Black Line Consolidation Integrity Manager automatically reconciles accounts where the balances tie out and highlights exceptions, meaning users only have to worry about a fraction of the consolidation reconciliations each month, dramatically reducing the time spent on this process.

Black Line provides the ability to group accounts together and drill down into those accounts for detail directly within the software.

Now the IT pro requires solutions that consolidate physical services in order to improve efficiency, reduce wasted energy, and cut costs.

And this is where Microsoft System Center comes into play—it offers a variety of tools for implementing consolidation strategies for both homogeneous and heterogeneous workloads.




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Over the last several months though I haven’t done many interviews at all, for two reasons.