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Richmond providers are undergoing a transformation. Bon Secours announced a merger with Ohio-based Mercy Health, which would make it one of the largest Catholic health systems in the country. Bon Secours and competing health system VCU Health teamed up to form a thoracic surgery practice, and executives from both systems have stated that more partnerships are likely. Virginia Premier Health, the insurer arm of VCU, is introducing four new individual plan options on the state health insurance exchange for the 2019 plan year, as well as two new Medicare Advantage plans. Virginia expanded its Medicaid program in June 2018. An additional 400,000 state residents will be eligible for coverage beginning Jan. 1, 2019, which is a huge boost for providers, payers, and pharma..