%

The rate of increase in health care spending

31

Erosion of employer-provided health insurance

19

Increasing number of uninsured and/or underinsured

15

Reimbursement rates

13

Slow adoption of information technology

13

A public backlash against your industry

10

New federal legislation or regulation

9

Labor shortages

9

Rising consumer out-of-pocket costs

9

Pressures on pricing for prescription drugs

8

Increased utilization

8

Price regulation or price controls

6

Not producing enough valuable new products or services

6

Increasing prevalence of chronic medical conditions

6

Consolidation of health insurers

6

Shortage of capital

6

Malpractice/Liability premiums

6

The cost of new technology

5

Increasing rates of patient non-compliance

3

Rising input costs

2

Increased competition

2

Public health infrastructure

2

Increasing specialty, or “boutique” providers

2

Consolidation of hospitals

1

Other

3