Consolidation is sweeping across Greensboro, where health systems exert the most control over healthcare in the market. Wake Forest Baptist Health has boosted its market share significantly with the acquisition of High Point Regional Health System, displacing Novant Health as market leader. Wake Forest is also exploring a plan to combine with Charlotte-based Atrium Health. Consolidations can leave insurers with few alternative providers to include in their networks, giving combined health systems greater bargaining power. Insurers are turning to strategic partnerships to gain footing. Blue Cross and Blue Shield of North Carolina has plans to merge with Cambia Health Solutions, and Cigna has completed its merger with Express Scripts. As the state shifts to a managed Medicaid model that integrates physical health, behavioral health, and pharmacy services, look for the adoption of alternative payment models, including risk-based contracts, to accelerate in Greensboro.

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