Discuss the shift to value-based health care and its impact on the roles and responsibilities of advanced registered nurses

1. Discuss the shift to value-based health care and its impact on the roles and responsibilities of advanced registered nurses. 2.What major evolving trends in the health care policy and delivery systems will affect your practice in the next 3-5 years, and 3. how do you think advanced registered nurses leaders will continue to influence the direction of health care? 250 words not including title and reference page