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Question 1:
The need to reduce costs and to operate more __________ has become as important in health care as it is in many other industries.
A. elusively
B. eventually
C. expressively
D. efficiently
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elusively: in a way that is difficult to describe, find, achieve, or remember

eventually: in the end, especially after a long time or a lot of effort, problems, etc

expressively: in a way that is expressive (= showing what someone thinks or feels)

efficiently: working or operating in an organized, quick, and effective way

=>  "efficiently" has the most appropriate meaning 

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