This document discusses the changing healthcare landscape for payers in three parts: 1. It is important for pharmaceutical companies to engage with payers to benefit patients, their own finances, and healthcare system costs. To gain trust, pharma must provide customer-centric solutions and data-driven insights. 2. Healthcare is being disrupted by new incentives like pay-for-performance replacing fee-for-service and game changing technologies empowering patients. 3. Non-traditional companies are entering healthcare to make it more sustainable by applying strengths in areas like IT, data analytics, and mobile.