The Columbus market is dominated by large integrtaed delivery networks. As a result, the market has some of the state's highest healthcare costs, which poses challenges to the market's diverse employer sector. Interst in value-based care remains high, and some payers are starting to address social determinants of health with community investments and new clinics for underserved communities. Expect more expansion by health systems into specialty therapy areas, especially into wealthy neighborhoods that lack convenient access to such services, while employers are forced to implement higher deductibles and other cost-control measures, such as copay accumulator programs, into employee benefit designs.

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