The Tucson market—despite the addition of work requirements and eligibility restrictions to the state’s managed Medicaid program—is focused on one goal: expanding patient care access. The market’s large health systems are engaging in construction projects, with the most notable being a patient tower Banner Health is constructing to replace an aging hospital in Tucson, mirroring a similar project in nearby Phoenix. Health systems are also pushing east and south of Tucson and investing in telemedicine resources. The state’s legislature expanded patient care access in recent sessions, giving new providers prescribing authority and mandating coverage for nearly all telemedicine services. Physicians have largely stuck to the status quo of independence and affiliation rather than direct employment, but they have also been able to drive the market through ventures like Arizona Connected Care, a clinically integrated network that has ACO agreements and would be an attractive partner for further ACO contracts..

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