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The Dallas–Fort Worth metropolitan area is continuing to expand, and providers are investing to expand capacity as population growth produces higher demand for healthcare, including specialty services in cardiology, oncology, and neurology. Occurring alongside this growth is a slow movement by the market's largest and most integrated provider organization into alternative payment models that include financial risk—a sign that local providers are taking additional steps to operate more efficiently and present a strong value proposition for payers as costs continue to rise and contract disputes become more common. Patient access to care remains an issue in Dallas to a persistent shortage of physicians and this shortage, along with common high-deductible health plans, has made convenient care centers and telemedicine services attractive to local consumers.