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San Antonio is still developing, as population growth and a booming economy are driving population growth and expansion strategies. For now, growth has taken precedence over innovation, which means integreated delivery networks are still slow to adopt alternative payment models established with clinically integrated networks. Growth also stands to benefit health plans, particularly Medicare Advantage plans, as more residents obtain coverage in the market and age into Medicare eligibility. Like other Texas markets, a lack of Medicaid expansion contributes to a higher than average uninsured rate.