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The Norfolk market is defined by high consolidation and geography, giving the market defined submarkets where health systems compete. Some payers and providers have chosen to conduct business mainly to the north while others are in the southern section near Norfolk and Virginia Beach. Much of the value-based care in the area revolves around the Medicare program and bundled payment activity, with little in commercial care coordination. There is a sizable military presence employeds, and a substantial percentage of the population receives benefits through TRICARE. With conditions so siloed in the market, there has been little latitude to form innovative value-based partnerships.