The body which represents the NHS in Wales says radical reforms are needed in order to improve services.
There are already a number of proposals to save money but the NHS Confederation says it can't keep meeting financial targets without any major change in the health service.
Rob Shelley reports
Director Helen Birtwhistle says this year’s savings targets of £300 million will be reached, but that to meet any further targets would mean some services having to be centralised.
More care would also have to done in the community to prevent people being hospitalised in the first place, she said.