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Austin continues to be one of Texas' most innovative and tightly consolidated healthcare markets. The market's largest IDNs have made an effort in the previous year to expand their influence by acquiring or expanding their physician footprints and creating additional touch-points for patients across the region. Alternative payment model participation remains a prominent trend among these organizations as well and should continue to increase in the near term. Health plans, the major counterweight to Austin's huge IDNs, face a challenging future due to mega-mergers and growing consolidation in the market but are also finding a favorable environment for unique, less generous plan designs, which creates a positive outlook for market share.