Today's shift to value-based reimbursement is causing a shift in how devices and medical products are marketed and sold, and how the new buyers value what is being offered. Review and analyze the attached business report and answer the following questions in essay format.

1. Who are the new influencers of this market?

2. How has technology driven change? Give an example.

3. How is this data driving clinical expertise?

4. What is strategic interoperability and how is it creating solutions to serve customers?