<prompt> Translate the following text to EnglishKulingana na uchambuzi, mabadiliko hayo yamekusudiwa kuendeleza malengo ya mfumo wa malipo ya baadaye, wakati wa kudumisha uwezo wa kifedha wa sekta ya hospitali na kuhakikisha upatikanaji wa huduma za afya za hali ya juu kwa watendaji wa Medicare.  <response>: According to the analysis, the changes are designed to further the objectives of the prospective payment system,2 while maintaining the financial viability of the hospital industry and ensuring access to high quality health care for Medicare beneficiaries. 