(CBS Connecticut) — Hartford HealthCare, a statewide health system that includes Hartford Hospital, and the Hospital of Central Connecticut is announcing job cuts.

In a letter to employees Monday, CEO Jeffrey Flaks says 350 jobs are being eliminated, including 230 layoffs. About 120 of the positions are currently unfilled.

Flaks blames the restructing in health care, saying it has resulted in fewer private patients and an increase in patients covered by government programs which pay less to providers.  He says there already have been more than $200 million in non-staff costs which have been reduced and targeted.

The letter says Hartford HealthCare and other hospital groups have been hit hard by “massive reductions in government reimbursement.  The job cuts will take place over the next 30 days.

He says the hospital’s inpatient business has dropped significantly,  and is expected to drop as much as 25% nationwide by 2020.  He called the announcement “difficult and painful” but says it shows Hartford HealthCare is organizing itself to stay ahead of the change.

Flaks says while cutting costs,  they also are focused on growth and investing in new technologies.

Each Hartford HealthCare member organization will let its own employees know how the cuts will affect them.

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