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In the past few years, pharmaceutical distributor Cardinal Health (NYSE:CAH) has acquired a major distributor and half a dozen pharmaceutical companies in China. It also acquired AssuraMed to enter the home-health supply market, and invested in startups including HealthSpot, which makes a telemedicine kiosk, and Intralign, which helps providers optimize the cost and quality of surgical care.

Those moves were all part of a clearly defined strategy to meet the changing healthcare marketplace. John Rademacher, president of ambulatory care at Cardinal Health, told BioOhio members at the trade group’s annual event on Tuesday that the company’s investment and acquisition strategy is driven by these 12 healthcare industry trends: