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The shift toward value-based care in the Greensboro market, where local health systems, insurers, and physicians continue to embrace accountable care, shows no signs of abating. The emergence of clinically integrated networks, which are driving higher leves of integration between health systems and physician groups, is expected to accelerate this shift to outcomes-driven models. North Carolina's plans to move the state's Medicaid program from fee-for-service to a capitated system could also spur additional payment reform efforts in the commercial sector. As the state awaits approval from Centers for Medicare and Medicaid Services to move forward with reforms, managed care organizations are forming collaborations with providers to develop health plans to serve Medicaid beneficiaries. The increasing focus on population health and cost-containment in both the commercial and public sectors will give pharmaceutical companies an opportunity to demonstrate their products' efficacy in disease management.