Consolidation, integration, collaboration, and a shift toward value-based payment models are driving change in the Southern Connecticut healthcare market. Yale New Haven Health continues to dominate the health system sector, but look for new competition with the creation of Nuvance Health. Expect health systems to continue to advance their integrated delivery networks through acquisitions, affiliations, and expansions of services that emphasize care coordination, population health management, and payment reform. In the health plan sector, insurers are watching the impact the mergers of CVS Health and Aetna and Cigna and Express Scripts will have and are pushing high-deductible products with narrow networks to manage costs. Expect employers to continue to look for ways to shift costs to employees and adopt high-deductible health plans that offer fewer benefits or partially self-funded level-funded plans, both of which deter the use of medical services and promote the use of generic drugs.

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