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WorldIndustryOutlook,HealthcareandPharmaceuticals,TheEconomicIntelligenceUnit,June2016GlobalHealthcareRisks,NationalInstituteofAging,“GlobalLifeExpectancyreachesnewheights,”WHO,NationalInstituteofAging,2016WorldIndustryOutlook,HealthcareandPharmaceuticals,TheEconomicIntelligenceUnit,June2016“Top10causesofdeath,”WorldIndustryOutlook,HealthcareandPharmaceuticals,TheEconomicIntelligenceUnit,June2016,citingtheInternationalDiabetesFederationFacingthetidalwave:De-riskingpharmaandcreatingvalueforpatients,DeloitteCentreforHealthSolutions,2016WorldIndustryOutlook,HealthcareandPharmaceuticals,TheEconomicIntelligenceUnit,June2016High-valuehealthcare:Innovativeapproachestoglobalchallenges,DeloitteCenterforHealthSolutions,2016MACRA:Disruptingthehealthcaresystemateverylevel,DeloitteCenterforHealthSolutions,2016,/us/en/pages/life-sciences-and-Sharedplanningguidance2016/17-2020/21.NHSEngland,2015.Seealso:Newcaremodels—vanguardsites.NHSEngland.Seealso:https://www.ProgramaNacionaldeSaludHildebrandtH,HermannC,KnittelR,Richter-ReichhelmM,SiegelA,W.GesundesKinzigtalIntegratedCare:improvingpopulationhealthbyasharedhealthgainapproachandasharedsavingscontract.InternationalJournalofIntegratedCare.2010;10(2).DOI:/10.5334/ijic.539.“Devolution:WhatitmeansforhealthandsocialcareinEngland.”King’sFund,2015.Seealso:.uk/publications/devolution“Groundbreakinghealthandcaredevolutionplansforthecapitallaunchedtoday.”NHSEnglandLondon,2015.Seealso:https://www.england.nhs.uk/“Peersraisedoubtsaboutcombinedauthoritiesanddevolutionundernewgovernment,”PublicSectorExecutive,2016.Seealso:http://www.

NHSEnglandregionalteams.NHSEngland,2015.Seealso:https://www.VitalSigns:HowtodeliverbetterhealthcareacrossEurope,DeloitteUKCentreforHealthSolutions,July2016,/uk/en/pages/“BeSmart-don’tstart,”InstituteforTherapyandHealthResearch,Kiel,Germany,2016.Seealso:/be-smart/http://www.“InNewSurveyof11Countries,U.S.AdultsStillStrugglewithAccesstoandAffordabilityofHealthCare,”2016CommonwealthFundInternationalHealthPolicySurvey,/publications/in-PublicPrivatePartnerships.HealthcareUK.Seealso:https://.uk/"Laborcostsarekeydriverofhospitalcostgrowth”,FierceHealthcare,May2015,/healthcare/labor-costs-are-key-NationalAuditOffice(2016).ManagingthesupplyofNHSclinicalstaffinEngland.NAOwebsite.Seealso:.uk/report/managing-the-JapanHealthcareReport,EconomistIntelligenceUnit,SecondQuarterhttps://www.england.nhs.uk/2016/08/centres-digital-“ExploringtheSocialDeterminantsofHealth,”RobertWoodJohnsonFoundation,March2011.CitedinGerrityM,EvolvingModelsofBehavioralHealthIntegration:EvidenceUpdate2010–2015Horvitz,MilbankMemorialFund,May2016Schroeder,S.WeCanDoBetter—ImprovingtheHealthoftheAmericanPeople,NEnglJMed2007;357:1221-8.Socialdeterminants+collaborativehealthcarecan=improvedoutcomes,reducedcosts:Implicationsandopportunitiesforhealthplansandstates,Deloitte,2016“GotyourACEscore?”ACESTooHighNews,/got-“GotyourACEscore?”ACESTooHighNews,/got-“EssentialsforChildhoodFramework:StepstoCreateSafe,Stable,NurturingRelationshipsandEnvironmentsforAllChildren,”CDC,/Socialdeterminantsandcollaborativehealthcare:Improvedoutcomes,reducedcosts:Implicationsandopportunitiesforhealthplansandstates,Deloitte,2016IntegrationofMentalHealth/SubstanceAbuseandPrimaryCare,preparedforAgencyforHealthcareResearchandQuality(AHRQ);preparedbyMinnesotaEvidence-basedPracticeCenter,Minneapolis,Minnesota,AHRQPublicationNo.09-E003,October2008Socialdeterminantsandcollaborativehealthcare:Improvedoutcomes,reducedcosts:Implicationsandopportunitiesforhealthplansandstates,Deloitte,2016Meili,Ryan,“SuperUsersofHealthCareSystemTargetofReforms,”availableonlineat:http://evidencenetwork.ca/archives/16208High-valuehealthcare:Innovativeapproachestoglobalchallenges,DeloitteCenterforHealthSolutions,2016Cowan,Pamela,HotspottingProgramProvidesCareWhereCareDidn’tExist,ReginaPostLeader,January4,2016.Availableonlineat:http://leaderpost.Deloitte’spathto21stcenturycures:Acalltoaction,Deloitte,“Precisionmedicine:Bridgingthegapbetweenpotentialandreality,”AviewfromtheCenter,DeloitteCenterforHealthSolutions,July23,2015;citingFDAdefinition/centerforhealthsolutions/2016Globalhealthcareoutlook:BattlingcostswhileimprovingDeloitte,ScottD.Ramsey,DavidVeenstra,SeanR.Tunis,LouisGarrison,JohnJ.CanHelpAdvance‘PersonalizedMedicine’inCancerTreatment,”HealthAffairs30,no.12(2011):pp2259–2268,DOI:10.1377/hlthaff.2010.0637.ExcerptedfromTheconvergenceofhealthcaretrends:Innovationstrategiesforemergingopportunities,DeloitteCenterforHealthSolutions,www2.AllenM.SpeigelandMeredithHawkins,“’PersonalizedMedicine’toItsPromise?”HealthAffairs31,no.1(2012):pp43–49,DOI:10.1377/hlthaff.2011.1054.ExcerptedfromTheconvergenceofhealthcaretrends:Innovationstrategiesforemergingopportunities,DeloitteCenterforHealthSolutions,2015pmc-phrma-personalized-medicine-“Collaborationandinnovation:Endingthe17-year‘valleyofdeath’ingettingtreatmentstopatients,”HealthCareCurrent,DeloitteCenterforHealthSolutions,September29,2015,/us/en/pages/life-html?id=us:em:na:hcc:eng:lshc:092915#1.AccessedSeptember29,2015“Precisionmedicine:Bridgingthegapbetweenpotentialandreality,”AviewfromtheCenter,DeloitteCenterforHealthSolutions,July23,2015http://CastellanoJM,SanzG,Pe?alvoJL,etal.APolypillStrategytoImproveAdherence:ResultsFromtheFOCUSProject.JAmCollCardiol.2014;64(20):2071–2082.doi:10.1016/j.jacc.2014.08.021.

IMSInstituteforHealthcareInformatics.AvoidableCostsinUSHealthCare.2013;Nonadherencetomedication:thescaleoftheproblem,Prescriber,Sep52013,/doi/10.1002/psb.1096/epdfHigh-valuehealthcare:Innovativeapproachestoglobalchallenges,DeloitteCenterforHealthSolutions,2016CastellanoJM,SanzG,Pe?alvoJL,etal.APolypillStrategytoImproveAdherence:ResultsFromtheFOCUSProject.JAmCollCardiol.2014;64(20):2071–2082.doi:10.1016/j.jacc.2014.08.021.HuffmanMMS,FusterV,RodgersA,SmithS,YusufS.AnApplicationtoListofEssentialMedicinesforsecondarypreventionofcardiovasculardisease(ischemicheartdiseaseandthromboticstroke)/Ad.pdf(10October2013)IMSInstituteforHealthcareInformatics.AvoidableCostsinUSHealthCare.2013;Nonadherencetomedication:thescaleoftheproblem,Prescriber,Sep52013,/doi/10.1002/psb.1096/epdf2016SurveyofU.S.HealthCareConsumers,Deloitte,Deloitte’sPathto21stCenturyCures:ACalltoAction,2016Globalhealthcareoutlook:BattlingcostswhileimprovingDeloitte,“HealthcareanalyticsmarkettoreachUSD18.7billionby2020”,newsrelease,MedicalMarketResearch,August,2016,https:///market-Healthsystemanalytics:Themissingkeytounlockvalue-basedcare,DeloitteCenterforHealthSolutions,2015VitalSigns:HowtodeliverbetterhealthcareacrossEurope,DeloitteUKCentreforHealthSolutions,July2016GreaterManchestermakes￡36millionfundingcommitmenttoimprovehealthandsocialcare.SalfordTogether,2016.Seealso:http://www.salfordtogether.preparedbyAvalereHealthfortheAmericanHospitalAssociation,2015,page25ImprovementsNHSprovidershaveachievedthroughmerger.NHSImprovements,2016.Seealso:https://improvement.nhs.uk/uploads/2016Globalhealthcareoutlook:BattlingcostswhileimprovingDeloitte,Top10healthcareinnovations:Achievingmoreforless,DeloitteCenterforHealthSolutions,2016Blockchainininsurance:Turningabuzzwordintoabreakthroughforhealthandlifeinsurers,DeloitteCenterforHealthSolutions,2016Thevalueofpatientexperience:Hospitalswithbetterpatient-reportedexperienceperformbetterfinancially,DeloitteCenterforHealthSolutions,2016,https://EdLionberger,“Patientsatisfactionandphysiciancommunication:DriversaccessedMay4,2016RaveN,GeyerM,ReederB,ErnstJ,GoldbergL,BarnardC,“RadicalSystemsChange:InnovativeStrategiestoImprovePatientSatisfaction,”TheJournalofAmbulatoryCareManagement,April/June2003—Volume26—Issue2—p159–174,/ambulatorycaremanagement/pages/accessedMay4,2016Thevalueofpatientexperience:Hospitalswithbetterpatient-reportedexperienceperformbetterfinancially,DeloitteCenterforHealthSolutions,2016,https://VitalSigns:HowtodeliverbetterhealthcareacrossEurope,DeloitteUKCentreforHealthSolutions,July2016BertakisKD,AzariR.Patient-centeredcareisassociatedwithdecreasedhealthcareutilization.JAmBoardFamMed.2011May-Jun;24(3):229-39.StewartM,BrownJB,DonnerA,McWhinneyIR,OatesJ,WestonWW,JordanJ.Theimpactofpatient-centeredcareonoutcomes.JFamPract.2000Sep;49(9):796-804.PubMedPMID:11032203RiberaSalud’scontributiontothepublichealthcaresysteminSpain,RiberaSalud,2016,/wp-content/uploads/2016/03/Ribera-accessedOctober5,2016.Noregulationisanisland:EUregulatorychangesandtheirimpactonthegloballifesciencesindustry,Deloitte2016

“EUtotightenmedicalcontrolsafterPIPbreastimplantscandal,”NewYorkDailyNews,27Sept