Trends Impacting U.S. Healthcare

• Managed Care

• Shrinking reimbursement

• Overcapacity

• Labor shortage

• Consolidation

• Compliance scrutiny

• Reduced access to capital

Financial Pressures

• Demographics

• Information access

• Patient involvement

• Quality incentives

• Disease management

Consumers &

Employers

• HIPAA

• HCFA

• Patient rights

• Patient safety

• Outcomes

Regulatory

• Internet

• Targeted new drugs

• Drug Informatics

• Medical devices

• Robotics

• Standardization

Technology

U.S.

Healthcare

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