Salt Lake City's healthcare stakeholders in the market experiment and take on risk. The top health systems are heavily integrated and operate clinically integrated networks and health plans. Intermountain is the leading integrated delivery network and one of the founding members of the generic drug manufacturing company CivicaRx. Physician groups of all sizes participate in payment reform alongside health systems, which are comfortable with risk-bearing arrangements, such as the fully capitated Medicaid ACO program. The population skews younger than the rest of the country, however, Salt Lake City grapples with poor mental health outcomes, and behavioral health providers and treatments are in high demand. Health plans are willing to spearhead on-site clinics for employers and are receptive to employers’ demand for consumer-driven health plans and self-insured products, which will likely increase.

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