A northern-Michigan hospital is cutting 43 positions in part because of costs related to the Affordable Care Act, its CEO says. David Zechman of McLaren Northern Michigan told a local television station the layoffs were “something that we had no choice in doing.” Zechman cited the changes to Medicaid and Medicare under the health-care law that cut reimbursement rates for the hospital’s services. “We still have the same costs of taking care of patients, but it’s hard to keep doing the same things you’re doing if you’re paid less for the same amount of costs and services you provide —...