El Paso’s healthcare sector continues to be driven chiefly by its large health systems, which have been active in building outpatient care sites to expand their reach across the market. The presence of value-based payment incentives remains limited, which has helped keep many of the market’s physicians practicing on their own or in small groups and resisting direct employment by a local health system. That said, the largest physician group in El Paso is a clinically integrated network offering incentive payments on top of fee-for-service payments, and in a market that is weathering a provider shortage at every level, incentives such as these may lead to greater consolidation in El Paso’s physician sector in the near future. The market’s health insurance sector is dominated by a few carriers in the commercial and governmental sectors, respectively, but carrier enrollment is due for a shakeup when the next iteration of managed Medicaid contracts go into effect in September 2020.

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