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A wave of hospital consolidation could bring stability to the Providence market’s financially struggling hospitals as well as provide capital for expansion projects, which have been relatively limited in recent years. In the health plan sector, insurers are facing increased expenses and exploring methods to manage costs, such as value-based reimbursement models. Employers continue to limit the number of health plan options available to employees. More providers also participating in accountable care programs, which are designed to improve patient outcomes, but their emphasis on cost could lead to higher generic drug utilization.