- The Medical Marketplace Is Changing Fast Bloomberg News by Peter Orszag and David Gluckman — Marketplace disruption is reshaping health care in the U.S., with headline-grabbing mergers and the formation of new companies. These moves are breaking down traditional silos in health care. And further change can be expected, as calls grow louder for better health-care value for the dollar. Four trends are driving the shift: an ongoing movement toward value-based payments; improved health-care data analytics; innovations in medical science; and increasing demand from consumers for greater convenience and value. These trends, along with corporate tax reform, will continue to foster mergers and other shifts that blur the lines between previously distinct segments of the health care industry. In turn, competitive new companies that can provide better, less expensive and more convenient health care will only increase the pressure for systemwide change.