By Monica E. Oss As we come to the close of 2018, I was looking back at some of the issues where we have seen the needle move significantly in health and human services this year. My big takeaways? Fee-for-service is slowly but steadily being replaced by value-based forms of reimbursement (see Preparing For The Very Glacial VBR Rollout In Some Markets). "Therapy" (of many types) will be largely virtual (see First Telehealth-Now Virtual Health). "Primary care" will look very different in just a few years (see The Primary Care Reinvention). And, technology is one of the few viable solutions to the health and…