To support your work, use peer-reviewed journals. As in all assignments, cite your sources in your work and provide references for the citations in APA format. DQ 1: 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 does this impact the strategic management of these facilities?