Lifespan and rival Care New England and Brown University have ended merger talks without a deal. South County Hospital and Yale New Haven Health System have also broken off discussions of a partnership. But consolidation still looms as healthcare systems in Massachusetts and Connecticut seek to expand into Rhode Island. Insurers are exploring methods to manage costs, such as value-based reimbursement models, as expenses grow. Employers continue to limit the number of health plan options available to employees and to introduce cost-containment plans, including high-deductible health plans, to control healthcare costs. More providers are participating in accountable care programs, increasing the ACO penetration rate in the market. While these initiatives are designed to improve patient outcomes, their emphasis on cost translates to higher generic drug utilization.

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