Consolidation, integration, and collaboration continue to drive change at a rapid pace in the Hartford market. Hartford HealthCare remains the dominant health system, but Trinity Health of New England is making its presence known, recently signing an expanded clinical partnership with powerhouse Yale-New Haven Health. Hartford HealthCare is the first health system in the market to become vertically integrated. Expect the market’s top health systems to increasingly look outside the market for acquisitions and other partnerships to increase clout and expand access. Watch for employers to continue shifting costs to employees, adopting high-deductible plans, or trying new hybrid or level-funded plans. The merger of CVS Health and Aetna will affect Hartford’s fast-growing urgent-care industry as CVS Health plans to offer more healthcare services in its retail clinics. This disruption will not stop insurers from increasing pressure on providers to begin accepting financial risk for patient outcomes.

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