Economics is a chief importance in a household and country what a person chooses and how it may operate properly. Economics includes the study of labor, land, and investments, of money, income and production, and of taxes and government costs. “Economists seek to measure well-being, to learn how well-being may increase over time, and to evaluate the well-being of the rich and the poor. The most famous book in economics is the Inquiry into the Nature and Causes of The Wealth of Nations written by Adam Smith, and published in 1776 in Scotland. ("What is economics,”) With healthcare increasing in the country and insurance agencies providing consumers with the proper coverage for care these conditions are becoming a stress. But within this tension agencies are finding ways to merge and accommodate all aspects of consumers need financially and providing the care needed. According to the “Competitive Effects Analyses of Hospital Mergers” over the past decade, there have been more than 500 hospital transactions and realignment is expected to continue in 2014 and beyond. (Guerin- Calvert, 2014) Economically to control the flow, smaller independent hospitals are being advised to affiliate themselves with larger facilities to better contain their businesses as well as their patients. Innermost concern that patients have is the cost of coverage for the care that will be provided to them. And the trends in network to diminish a patient and their finances benefits are designed with lower premiums and out of pocket costs such as deductibles and copays. But, within this plan a patient has fewer providers to choose from. Another trend is risk based contracting which is a contract based on how well a provider performs and if seen to perform poorly the provider is penalized. A patient would be taking a risk as well just to save money on care that may or may not be