The healthcare in the US has proved to be costly, and many hospitals are finding a way to cut on costs and offer quality care to patients. The majority population who face serious health issues and are often the subject of worry to several health providers are the elderly. Hospitals are entering into partnerships with individual companies and insurance providers to cater for the health needs of its staff with the aim of reducing costs and saving from the reduced bills. In the case provided for the state of health and the various players in the industry, there exists a liaison between the head office and satellite branches all aimed at providing uniform services. The expansion plan of the hospitals is only made possible through Iora system that seeks to reduce the cost by promoting primary care away from the hospitals. According to Dr. Fernandopulle, his goal is to transform health care through an innovative solution that would offer quality care to patients without actually visiting the hospitals. The idea will work through partnerships that focus on communication and customized care. This kind of care will be made possible through customer care that is swift to tend to emerge needs of then clients. The other liaison is to make patients customers of a hospital it means that their suggestions should be incorporated into their operations. For patients like Ms. Shock, their feedback has allowed the hospital to attend to her healthcare needs by developing a health plan that will address her needs. From the case, it is important to note that some factors should be considered before an expansion strategy is executed. The use of information system and liaison between different hospitals is the future of expansion plans in healthcare.