Two Catholic health systems, Maryland-based Bon Secours and Cincinnati’s Mercy Health have announced plans to merge into a 43-hospital system stretching across seven states in the eastern half of the U.S.

More hospitals are screening patients on health-related social needs as the industry has recognized the importance of factors outside the healthcare system on outcomes. The investments and available funding, however, haven’t been consistent.

It may be obvious to those working in hospitals—and especially in emergency medicine—that a TV medical drama isn’t quite reality. But for patients who are regular viewers of the long-running “Grey’s Anatomy,” the show could have a real-life impact on how satisfied they are with their care.

The tax cut legislation signed into law late last year will help most for-profit hospitals in 2018, boosting their bottom lines at a time when several major chains are struggling with weak admissions and making acquisitions and capital investments more attractive.

John Noseworthy, MD, will step down as president and CEO of Mayo Clinic at the end of 2018 after nine years at the helm of the health system.