Significant future trends in health care will threaten the long term viability of some organizations. Health care organizations must strategically plan for the current and predicted future decrease in health care reimbursement dollars. Taking a proactive approach to addressing opportunities and mitigating risks related to this trend are an essential step toward organizational future financial stability and market viability. Emerging health care trends, while posing positive options for the future of health care, may also create threats to the current and future state of organizations. Each organization must evaluate the predicted impact of trends and develop strategies to optimize opportunities and mitigate threats. Creating a strong strategic plan and approaching health care operations from a cost efficiency perspective will ensure future financial viability for health care organizations that are attempting to reconcile the issues related to the current and predicted future decrease in reimbursement dollars