Additional access to hospital executives and their institutions can cost companies $55,000 a year or even more.
When Congress decided to provide the money last year, state officials and hospital executives saw it as a breakthrough.
For many hospital executives, the changes have required a big adjustment.
Last Tuesday, he was speaking to local officials and hospital executives over dinner here.
Elsewhere, hospital executives figure that they have little choice but to go along with the doctors.
City officials and hospital executives had been worried that the new plan would leave these hospitals with little state support.
The new private rooms have a number of health care advantages, hospital executives say.
But many hospital executives say they are struggling to come up with solutions.
Among the reasons that hospital executives give for not installing such systems is the cost.
Each company is also assigned a specific hospital executive, called a liaison.