Denver's health systems are slowing down for the moment now that new hospital construction is completed, which will lead to short-term focus on building other facilities to drive patient volume. A public option proposal is receiving strong pushback from hospitals because its key cost-savings would come from the state setting hospital rates for the plans that would be sold under the option. Direct contracting has been slow to take off, but new purchasing alliances could change the market by allowing small and large groups to band together for better rates from hospitals. Migration toward accepting risk has been slow, and the next round of Medicare Shared Savings Program ACO contracts could be telling.


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