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Wilmington is a small market lacking true vertically integrated organizations. Christiana Care Health System is recognized as an integrated delivery network and is the main driver of healthcare development in the market through is eBrightHealth network. There are no major partnerships between the largest local hospitals and insurers, and community leadership overall is lacking as some providers, notably Christiana, are reticent about discussing goals and achievements. Care coordination partnerships will take on more prominence in the coming years, though, as Delaware installs a new healthcare spending benchmark and a communities-based program geared towards improving health disparities. The state has a high healthcare spending rate, and pharmaceutical costs as well as programs such as Medicaid and state employee coverage are sure to be heavily scrutinized.