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Presbyterian Healthcare Services will continue to exert its power in the Albuquerque healthcare market, thanks to its wide range of facilities, employed providers, payer contracts, and its market-leading health plan. Physician employment by local health systems continues in the market, but insurers are increasingly becoming competitive with health systems in working to attract physicians to their employed groups, particularly after UnitedHealth Group announced it was acquiring DaVita Medical Group, which has a substantial presence in Albuquerque. The state’s new managed Medicaid program contract, Centennial Care 2.0, swaps several carriers as participants which will lead to some enrollment shifts, but Presbyterian’s continued inclusion in the program means it will likely remain the leader in that sector. Watch for more employers to seek direct contracts with area health systems, most likely PHS, after Wal-Mart followed Intel Corp.’s lead and launched a direct contract with PHS in early 2018.