%

Adoption of information technology

47

Evolution of employer-provided health insurance

22

Increasing prevalence of chronic medical conditions

18

The rate of increase in health care spending

17

New federal legislation or regulation

13

Increased utilization

12

Pharmacogenomics

12

Pressures on pricing for prescription drugs

10

The cost of new technology

8

Reimbursement rates

8

Increased competition

7

Increasing rates of patient non-compliance

6

A public backlash against other sectors of the industry

3

Price regulation or price controls

2

Other

10