1. Revolution in Medical Sciences concepts  Reshaping concepts of diagnosis and treatment that are different from the past.  Human Genome Project 、 one-size-fits-all medicine 、 personalized medicine 、 genetic tests. New medical science  New medical science will generate more than half the changes.

2. Digital Transformation and Virtual Care  Through universal connectivity, multiple platforms, improved and intelligent interfaces, and multimedia information.  Digital transformation creates the possibilities for virtual care. Telemedicine － Telemedicine

3. Dramatic Restructuring of the U.S. Population  Studies show that result ethnic, cultural and diversification racial diversification. Globalization － Globalization  The “ lifestyle ” ails us results from the things we do to ourselves in the ways we live.

4. New Relationships Within the Delivery System outsourcing  A bright future for outsourcing.  Transparency and accountability will become critical success factors.

5. New Market Dynamics in Payment for Care  Defederalization is the wave of the foreseeable future. employers Third-party intermediaries employees Payment for care Shift from to CDHPs will likely grow dramatically