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Expect healthcare consolidation to continue at a rapid pace in the New York City market as health systems solidify strategic mergers, acquisitions, and affiliations to enhance clinical integration, strengthen negotiating power, and cover more geography as value-based reimbursement takes hold. We anticipate shifts in patient flow to continue with the increased number of urgent-care centers and ambulatory care centers. Insurers must still contend with fluctuating premium increases, but are reaping the benefit from value-based initiatives with health systems. A fast-growing narrow network health plan from insurer Create, featuring Mount Sinai Health System and WESTMED Medical Group, offers local employers another option for controlling costs. Narrow networks and value-based care will become more prevalent as hospitals and physicians consolidate and integrate into self-contained ecosystems.