Collaboration, integration, and a shift toward value-based payment models among health systems, physicians, and insurers are trends in the Buffalo market that will continue to shift healthcare delivery. Look for health systems to announce creative and collaborative ways to approach healthcare delivery as they face funding cuts and reimbursement challenges. Each health system is undergoing service enhancements and implementing value-based initiatives. Insurers are implementing new value-based reimbursement models, primary-care initiatives, and narrow networks at a rapid pace, increasing competition across all lines of business. Large physician groups are following the national trend to acquire smaller practices to build negotiating power and expand care. Expect employers to continue to find ways to shift costs to employees and adopt high-deductible plans, which often promote the use of generic drugs.

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