Over the next 18 months, healthcare CIOs will have too many requests for their attention. They must implement and maintain systems that enhance access, improve the quality of the care, and control costs. They must enhance their institutional capabilities to integrate with the increasingly connected care environment, while responding to a quickly evolving regulatory and business environment. This report gives CIOs an overview of fundamental macro issues driving healthcare, and ties those issues to market predictions for the next 18 months. Using our predictions, the CIO can assess his or her agenda as he or she works with the c-suite and the board of directors.