Cincinnati integrated delivery networks are boosting integration and care coordination, and some IDNs are partnering with rivals. Direct contracting with the market's pool of large employers could be next. TriHealth is reorienting its hospitals into centers of excellence to better align patient flow and continuum of care. Cincinnati is emerging as an expansion market for smaller carriers that are growing, with new players testing the waters in Medicare Advantage. National carriers continue to dominate the commercial segment.

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