While there may be consensus that health care is too expensive and needs reform, there is no agreement on how to do that.

Doug Ekeren, President of Avera Sacred Heart Hospital in Yankton, says they are working to make changes…

Ekeren says one of the cost drivers are the number of people who don’t have a primary medical care provider, and go to the emergency room instead…

Ekeren says they along with other medical providers have been working on improving outcomes..

Ekeren says Avera Sacred Heart now has about thirteen hundred employees in the area.