In my opinion, diagnostic and preventative medicine are the future as we move away from the fee for service model. I sell surgical devices, and people will always need surgery, but surgery is also very expensive. If there are early diagnostic tools or other technologies that will keep even a small percentage of patients out of the OR, it will have a huge economic impact on health systems and insurers. I don't know how far out we are from this, but it will be an economic reality sooner than later.
From my perspective, health systems are demanding best pricing and service regardless of their business volume, and some are even requesting risk sharing proposals from vendors on the cost of complications, readmissions, etc. This shit would have been unheard of just a few years ago. Times they are a changin...