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Healthcare in Little Rock is consolidating into the hands of a few major players. Baptist Health and University of Arkansas for Medical Sciences, the market's two largest health systems, have launched a new alliance, while third-largest health system, CHI St. Vincent, has developed a broad clinically integrated network of providers while selling its insurance arm, QualChoice. Centene is in the process of acquiring QualChoice and will become one of the market's largest insurers, alongside the Arkansas Blue plan and UnitedHealth. Expect the heightened competition to spur innovative and cost-efficient care models.