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| San Francisco, CA, USA Shifting
Stakeholders and
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| Executive Summary | 03 | |
| Setting the Stage | 05 | |
| Transaction Volume | 06 | |
| Exceptions the Norm | 07 | |
| Standards But No Standards | 09 | |
| Stakeholders | 11 | |
| Gradual Morphing of Stakeholders | 12 | |
| Acquisitions and Partnerships Triggering Change | 13 | |
| Change Agents | 15 | |
| athenahealth | 20 | |
| The Bank of New York Mellon | 23 | |
| InstaMed | 27 | |
| MedAvant Healthcare Solutions | 29 | |
| Misys Payerpath | 32 | |
| Payformance | 35 | |
| PNC | 38 | |
| RMS | 41 | |
| Breaking the Mold Through Cooperation | 44 | |
| Cooperation: Road to True Standards | 44 | |
| From the New Mold: e-Prescriptions | 45 | |
| Making an Uber Exchange Work: Lessons from Australia | 49 | |
| Glimmers of a New Order | 53 | |
| Appendix: Overview of the Healthcare Market | 56 | |
| Glossary | 57 | |
| Healthcare Expenditure Trends | 59 | |
| Complexities of Healthcare Processes | 59 | |
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