In five years, we will look back on the moves made by IDNs in 2015 as establishing the framework for a new paradigm, where healthcare
delivery will increasingly be handled by a few large, mutually exclusive healthcare ecosystems—evolving from today’s ACO.
These ecosystems will emerge from partnerships among regional IDNs (such as the Cleveland Clinic-backed Midwest Health
Collaborative in Ohio) or insurer-backed collaborations among prominent hospitals (such as Anthem’s Vivity in Southern California).

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