Expect the Rochester market’s top health systems to continue developing their integrated delivery networks in the broader region through affiliations, partnerships, and acquisitions that emphasize care coordination, population health management, and payment reform. Rochester Regional is leading the fully consolidated hospital sector in payment reform, but market leader UR Medicine is not far behind in adopting risk-based contracts. The longtime competitors are collaborating on several population health management initiatives, sharing of electronic medical records, and a statewide Medicaid quality initiative. Insurers and the market’s large clinically integrated networks also are involved in payment reform initiatives. Still slow to take on payment reform, Rochester’s small insured population, highly integrated health systems with progressive CINs, and willing payers position the market for the complete transition to value-based care.

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