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The major integrated delivery networks in Portland are leveraging the strength of payer/provider networks to manage the challenges of payment reform. With technology investments that address healthcare issues, such as patient convenience and satisfaction, the IDNs also are changing policies to streamline prior authorizations and track patient drug data to encourage generics. Legacy Health and Providence Health & Services are prioritizing outpatient services with retail clinic expansions, while all the major IDNs are using telemedicine to increase efficiency and cut costs. Plus, Portland offers cutting-edge cancer treatments and is home to numerous clinical trials. Expect Portland IDNs to offer more convenient services and locations while using technology like apps and predictive analytics to make services more convenient and improve patient outcomes.