The document discusses three major healthcare trends for 2020: 1) Continued focus on consumerism and price transparency as consumers demand more affordable and convenient care options like telehealth. 2) Increased mergers and involvement of private companies in healthcare delivery, putting financial pressure on existing providers. 3) Growing emphasis on addressing social determinants of health like housing, employment, transportation, which impact individuals' health outcomes. Health systems will need strategies to meet changing consumer and policy demands while maintaining financial viability.