The Phoenix market is experiencing a shift in healthcare delivery with value-based contracts, service expansion, consolidation, and integration as the primary trends. The creation of a mega health system, CommonSpirit Health, adds a new level of competition in a market building value-based integrated delivery networks with large clinically integrated physician groups. UnitedHealth Group dominates enrollment and rivals IDNs with integration of its own through physician alignment. Many of the top insurers are leveraging value-based contracts with physicians and health systems to influence care delivery and reduce costs. Both affiliated and independent physicians are an integral part of healthcare transformation through their clinical expertise and success in payment reform. Medicaid enrollment opportunities may increase as the state moves ahead with service and access expansions despite putting its work requirement on hold.

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