Grand Rapids has slowly been moving towards value-based care. BCBS of Michigan, the dominant insurer, continues to be the primary partner for ACOs in Grand Rapids and looks to remain in that place for years to come. Each of the three dominant health systems in the market has a relationship with BCBS of Michigan and has been pushing towards less costly forms of care by investing in urgent care and ambulatory care. The area’s insurance market has been static for some time, but the approval of Medicaid work requirements could bring changes. Health systems have been building relationships throughout the state, with Metro Health partnering with Sparrow Health System. While Spectrum Health is the dominant system by a long shot, the market's other systems are continuing to make investments.

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