Health care players are crossing traditional boundaries — and health care providers expect recent combinations to overturn the industry. In light of recent mergers such as CVS-Aetna and Optum-DaVita, we conducted an NEJM Catalyst Buzz Survey, sponsored by BDO, to ask the NEJM Catalyst Insights Council what impact they expect from innovative mergers and potential new entrants. By a large majority, members of the Insights Council, a qualified group of U.S. executives, clinical leaders, and clinicians involved in health care delivery, expect these mergers to disrupt the prevailing order over the next 3 years. They expect the greatest impact from the CVS-Aetna deal (if approved), followed by Amazon entering the fray. (This survey was conducted just before Amazon, JPMorgan Chase, and Berkshire Hathaway said they would form an independent health care company, which sent shock waves throughout health care and the stock market.) Google and Apple are also expected to have a significant disruptive influence, though neither company has specified its plans for the health care industry.
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