This document provides predictions for changes coming to the US healthcare system in 2017 and beyond. It predicts that the Affordable Care Act will undergo significant changes. It also expects the sale of health insurance across state lines, creating a new payment dynamic for providers. The document predicts that government funding to hospitals will be reduced, forcing cost cutting that will threaten higher compensation for providers. It concludes that providers should take control of their future by becoming entrepreneurs rather than relying on medical corporations. Clinic Service can help providers navigate these changes and ensure proper billing and payment.